Provider Demographics
NPI:1164543138
Name:PASSAGES, INC.
Entity Type:Organization
Organization Name:PASSAGES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:FLECK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:260-244-7688
Mailing Address - Street 1:107 N WALNUT ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:COLUMBIA CITY
Mailing Address - State:IN
Mailing Address - Zip Code:46725-2066
Mailing Address - Country:US
Mailing Address - Phone:260-244-7688
Mailing Address - Fax:260-244-7680
Practice Address - Street 1:107 N WALNUT ST
Practice Address - Street 2:SUITE C
Practice Address - City:COLUMBIA CITY
Practice Address - State:IN
Practice Address - Zip Code:46725-2066
Practice Address - Country:US
Practice Address - Phone:260-244-7688
Practice Address - Fax:260-244-7680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251C00000X, 251S00000X
IN2660T0005DE08315P00000X
IN2660I0006DE08315P00000X
IN2660I0004DE08315P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251C00000XAgenciesDay Training, Developmentally Disabled Services
Not Answered251S00000XAgenciesCommunity/Behavioral Health
Not Answered315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities