Organization Active NPI

Indiana Behavioral Innovations LLC

  • Psychiatric Hospital
  • Plainfield, IN
National Provider Identifier
1922614825
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
INDIANA BEHAVIORAL INNOVATIONS LLC
Practice address
1051 Southfield Dr
Plainfield, IN 46168
Phone
(844) 991-9900
Fax
(317) 406-8600
NPI assigned
Sep 17, 2020
Last updated
Jun 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Authorized official

Name
Richard A Kresch, M.D.
Title
Manager
Phone
(212) 243-5565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X NU Primary

Addresses

Primary practice location

1051 Southfield Dr
Plainfield, IN 46168

Mailing address

1051 Southfield Dr
Plainfield, IN 46168-2955
Phone (844) 991-9900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20201109000292 IN Part A Provider - Hospital 6608286356 Practice locations: Plainfield, IN
O20210108000543 IN Part B Supplier - Clinic/Group Practice 6608286356 Receives reassigned benefits from 15 practitioners
Practice locations: Plainfield, IN
O20210913001340 IL Part B Supplier - Clinic/Group Practice 6608286356 Receives reassigned benefits from 2 practitioners
Practice locations: Bloomingdale, IL; Des Plaines, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1922614825. Details of each certification follow.

Hospital certification: CCN 154067

Legal name
INDIANA BEHAVIORAL INNOVATIONS LLC
Doing business as
HENDRICKS BEHAVIORAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Mar 24, 2021
Last certification
Mar 24, 2021
Beds
28
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Enrollment address
1051 Southfield Dr
Plainfield, IN 46168-2955
Main/Primary Hospital Location
Hospital subgroups
Psychiatric

Care Compare: Hospital

Medicare Care Compare
Listed as
Hendricks Behavioral HospitalCCN 154067 · All quality measures
Type
Psychiatric
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2207859Hendricks Behavioral Hospital1051 Southfield Drive, Plainfield, IN 46168Certificate of waiverDec 30, 2026

National Provider Directory

National Provider Directory

Locations

1051 Southfield Dr
Plainfield, IN 46168
Phone (844) 991-9900

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
F-Prime Capital Partners HC Cambridge Fund III LP Organization, Cambridge, MA Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Jan 13, 2021 9.9%
US Healthvest, LLC Organization, New York, NY LLC, For-profit 5% Or Greater Direct Ownership Interest Jan 13, 2021 100%
Richard a Kresch Individual 5% Or Greater Indirect Ownership Interest Jan 13, 2021 13.6%
Corporate DirectorBoard Chair Jan 13, 2021
W-2 Managing EmployeeManager Jan 13, 2021
James Cha Individual Corporate DirectorBoard Member Jan 13, 2021
Oak HC/Ft Ushv Blocker Corp Organization, Greenwich, CT Corporation, Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Jan 13, 2021 9.1%
PP VII US Healthvest Inc Organization, Boston, MA Corporation, Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Jan 13, 2021 5.6%
PVP US Healthvest, Inc Organization, Boston, MA Corporation, Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Jan 13, 2021 28.4%
F-Prime Capital Partners HC International Fund III LP Organization, Cambridge, MA Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Jan 13, 2021 5.3%

Facilities with the same owner 7

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623283200000",
    "number": "1922614825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 SOUTHFIELD DR",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461682955",
            "telephone_number": "844-991-9900",
            "fax_number": "317-406-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 SOUTHFIELD DR",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "46168",
            "telephone_number": "844-991-9900",
            "fax_number": "317-406-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA BEHAVIORAL INNOVATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-17",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A",
        "authorized_official_last_name": "KRESCH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "212-243-5565",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IN

Sources for this page

Verify at the official NPI Registry.