NPIMap

Organization Active NPI

Pike County Area Rehabilitation Centers Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Petersburg, IN
National Provider Identifier
1972718773
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
PIKE COUNTY AREA REHABILITATION CENTERS INC
Practice address
705 E. Illinois St
Petersburg, IN 47567-9803
Phone
(812) 354-6560
Fax
(812) 354-2037
NPI assigned
May 14, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Daniel J Cockrum
Title
Executive Director
Phone
(812) 386-6312

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X IN
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X IN Primary

Addresses

Primary practice location

705 E. Illinois St
Petersburg, IN 47567-9803

Mailing address

PO Box 5
Princeton, IN 47670-0005
Phone (812) 386-6312

National Provider Directory

National Provider Directory
Tax ID family
Pike County Area Rehabilitation Centers Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1972718773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5",
            "city": "PRINCETON",
            "state": "IN",
            "postal_code": "476700005",
            "telephone_number": "812-386-6312",
            "fax_number": "812-385-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 E. ILLINOIS ST",
            "city": "PETERSBURG",
            "state": "IN",
            "postal_code": "475679803",
            "telephone_number": "812-354-6560",
            "fax_number": "812-354-2037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIKE COUNTY AREA REHABILITATION CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "COCKRUM",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "812-386-6312",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petersburg, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.