NPIMap

Organization Active NPI

Knox County Association for Retarded Citizens, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Bicknell, IN
National Provider Identifier
1902981830
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
2649T0012DE07 Issued in IN
Legal business name
KNOX COUNTY ASSOCIATION FOR RETARDED CITIZENS, INC.
Practice address
410 Liberty St
Bicknell, IN 47512-2831
Phone
(812) 886-4312
NPI assigned
Oct 26, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Michael R. Carney
Title
President
Phone
(812) 886-4312

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 2649T0012DE07 IN Primary

Addresses

Primary practice location

410 Liberty St
Bicknell, IN 47512-2831

Mailing address

2525 N 6TH St
Vincennes, IN 47591-2405
Phone (812) 886-4312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902981830. Details of each certification follow.

  • CCN 15G623 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 15G623

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
KNOX COUNTY ASSOCIATION FOR REMARKABLE CITIZENS
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Dec 9, 1991
Last certification
Apr 29, 2025
Beds
7
Ownership / control type
Private (non-profit)
Facility address
410 Liberty Street
Bicknell, IN 47512

National Provider Directory

National Provider Directory
Tax ID family
Knox County Association for Retarded Citizens Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902981830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 N 6TH ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475912405",
            "telephone_number": "812-886-4312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 LIBERTY ST",
            "city": "BICKNELL",
            "state": "IN",
            "postal_code": "475122831",
            "telephone_number": "812-886-4312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOX COUNTY ASSOCIATION FOR RETARDED CITIZENS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARNEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-886-4312",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "IN",
            "license": "2649T0012DE07",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bicknell, IN

Sources for this page

Verify at the official NPI Registry.