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RICHMOND STATE HOSPITAL NPI 1710081385


NPI Information

NPI: 1710081385
Provider Name: RICHMOND STATE HOSPITAL
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization

CLIA Number: 15D0360480

Address:
498 NW 18TH ST
RICHMOND, IN
ZIP 47374
Phone: (765) 966-0511
Get Directions

RICHMOND STATE HOSPITAL is a residential treatment facility, intellectual and/or developmental disabilities in Richmond, IN. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. RICHMOND STATE HOSPITAL NPI is 1710081385. The provider is registered as an organization entity type.

The provider's business location address is:

498 NW 18TH ST
RICHMOND, IN
ZIP 47374-851
Phone: (765) 966-0511
Fax: (765) 935-9503

The provider's authorized official is Adrian Villarin .
The authorized official title is Medical Director and has the following contact phone number (765) 966-0511.

The CLIA number assigned to this NPI record is 15D0360480 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/12/2006 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320600000XResidential Treatment Facility, Intellectual and/or Developmental Disabilities01021356INDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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