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COMMUNITY ACTION PROGRAM INC. OF WESTERN IN NPI 1083829394


NPI Information

NPI: 1083829394
Provider Name: COMMUNITY ACTION PROGRAM, INC. OF WESTERN IN
Classification: Technician - 3747A0650X
Entity Type: Organization

Specialization: Attendant Care Provider

CLIA Number: 15D0665959

Address:
22 W 2ND ST
WILLIAMSPORT, IN
ZIP 47993
Phone: (765) 762-0420
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COMMUNITY ACTION PROGRAM, INC. OF WESTERN IN is an attendant care provider technician in Williamsport, IN. The provider is an individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. COMMUNITY ACTION PROGRAM, INC. OF WESTERN IN NPI is 1083829394. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

22 W 2ND ST
WILLIAMSPORT, IN
ZIP 47993-118
Phone: (765) 762-0420
Fax: (765) 762-2428

The provider's authorized official is Steve Proctor .
The authorized official title is Executive Director and has the following contact phone number (765) 793-4881.

The CLIA number assigned to this NPI record is 15D0665959 - other - wic-head start with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/11/2007 and was last updated on 8/22/2020.


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
13747A0650XTechnicianAttendant Care ProviderYes
2376J00000XHomemakerX

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.