Medella House

Primary specialty

Recovery Care Clinic/CenterTaxonomy code 261QR0800X

Legal business name

MEDELLA HOUSE

Practice address

321 Ridge Rd
Charlestown, IN 47111-2033

Phone

(502) 235-5437

NPI assigned

Mar 23, 2022

Organization subpart

No

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

Authorized official

Name

Courtney Tutt, NURSE PRACTITIONER

Title

President

Phone

(502) 235-5437

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1952050197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 RIDGE RD",
            "city": "CHARLESTOWN",
            "state": "IN",
            "postal_code": "471112033",
            "telephone_number": "502-235-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 RIDGE RD",
            "city": "CHARLESTOWN",
            "state": "IN",
            "postal_code": "471112033",
            "telephone_number": "502-235-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDELLA HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "TUTT",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-235-5437",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McFi Saint Catherine Hospital LLC
• George Patrick McGhee, M.D.
• Michael V. McGuirk, PTA
• Stacey McKenzie, APRN
• Daylin McKim
• Milagros Mendez, PHARMD
• Crystal Messer
• Dawn Millspaugh
• Mindful Life, LLC
• Delia Mitchell

• Recovery Care Clinic/Center in Charlestown, IN
• Providers in Charlestown, IN by specialty
• Recovery Care Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.