Active NPI
Ywca North Central Indiana
- Substance Abuse Rehabilitation Facility
- South Bend, IN
National Provider Identifier
1922438928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- YWCA NORTH CENTRAL INDIANA
- Practice address
- 1102 Fellows St
South Bend, IN 46601-3514 - Phone
- (574) 233-9491
- Fax
- (574) 233-9616
- NPI assigned
- Nov 13, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Linda S Baechle
- Title
- President
- Phone
- (574) 233-9491
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
1102 Fellows St
South Bend, IN 46601-3514
Mailing address
1102 Fellows St
South Bend, IN 46601-3514
Phone (574) 233-9491
National Provider Directory
National Provider Directory- Tax ID family
- Ywca North Central Indiana
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- South Bend, IN
- NPI 1811365604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1384300800000",
"number": "1922438928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1102 FELLOWS ST",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466013514",
"telephone_number": "574-233-9491",
"fax_number": "574-233-9616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 FELLOWS ST",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466013514",
"telephone_number": "574-233-9491",
"fax_number": "574-233-9616"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YWCA NORTH CENTRAL INDIANA",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-13",
"last_updated": "2013-11-13",
"status": "A",
"authorized_official_last_name": "BAECHLE",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "574-233-9491",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Bend, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.