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TRADEWINDS SERVICES INC. NPI 1780778266


NPI Information

NPI: 1780778266
Provider Name: TRADEWINDS SERVICES, INC.
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization

CLIA Number: 15D2211366

Address:
3198 E 83RD PL
MERRILLVILLE, IN
ZIP 46410
Phone: (219) 945-0100
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TRADEWINDS SERVICES, INC. is a day training developmentally disabled services in Merrillville, IN. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. TRADEWINDS SERVICES, INC. NPI is 1780778266. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3198 E 83RD PL
MERRILLVILLE, IN
ZIP 46410-418
Phone: (219) 945-0100
Fax: (219) 940-3369

The provider's authorized official is Jon Gold .
The authorized official title is Chief Executive Officer and has the following contact phone number (219) 945-0100.

The CLIA number assigned to this NPI record is 15D2211366 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 4/21/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225X00000XOccupational Therapist31000137AINDIANANo
2235Z00000XSpeech-Language Pathologist22003978AINDIANANo
3251C00000XDay Training, Developmentally Disabled ServicesYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100229500MEDICAIDINDIANA
2100243530MEDICAIDINDIANA
3100243200MEDICAIDINDIANA
4100249270MEDICAIDINDIANA
5200059730MEDICAIDINDIANA
6200714400MEDICAIDINDIANA
7100248690MEDICAIDINDIANA

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

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