Mennonite Disabilities Committee, Inc.

Primary specialty

Respite CareTaxonomy code 385H00000X

Legal business name

MENNONITE DISABILITIES COMMITTEE, INC.

Practice address

1518 College Ave
Goshen, IN 46526-6527

Phone

(574) 533-9720

Fax

(574) 534-9817

NPI assigned

May 3, 2006

Organization subpart

No

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

Authorized official

Name

Mr. David Heusinkveld

Title

Executive Director

Phone

(574) 533-9720

Specialties & licenses 1

Addresses

Other names 1

• MDC Goldenrod Doing business as

Locations

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922066679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 COLLEGE AVE",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465266527",
            "telephone_number": "574-533-9720",
            "fax_number": "574-534-9817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 COLLEGE AVE",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465266527",
            "telephone_number": "574-533-9720",
            "fax_number": "574-534-9817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENNONITE DISABILITIES COMMITTEE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEUSINKVELD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "574-533-9720",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MDC Goldenrod",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gary Alan McRae, MSW
• Michaela Meadors
• Medicine Reimagined DPC
• Kathleen D Meier, N.P.
• Meijer Stores Limited Partnership
• Gopal Menon, M.B.,B.S
• David W Merrifield, R.PH.
• Max R. Mertz, M.D.
• Kristin Metzger
• Philip Metzler, MA

• All providers in Goshen, IN
• Respite Care in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.