STONE BELT ARC INC. NPI 1639231897

NPI Information

NPI: 1639231897
Provider Name: STONE BELT ARC, INC.
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
4417 E BLACKSTONE CT
BLOOMINGTON, IN
ZIP 47408
Phone: (812) 339-8284
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STONE BELT ARC, INC. is an intermediate care facility mentally retarded in Bloomington, IN. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. STONE BELT ARC, INC. NPI is 1639231897. The provider is registered as an organization entity type.

The provider's business location address is:

4417 E BLACKSTONE CT
BLOOMINGTON, IN
ZIP 47408-181
Phone: (812) 339-8284

The provider's authorized official is Leslie Green .
The authorized official title is Ceo and has the following contact phone number (812) 332-2168.

The enumeration date for this NPI number is 12/14/2006 and was last updated on 12/20/2013.

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
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities		00000704IDE07	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100234540	MEDICAID	INDIANA

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: 4/28/2024

NPI Synchronization or Removal

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