Provider Demographics
NPI:1275812653
Name:INDIANA UNITED METHODIST CHILDREN'S HOME
Entity Type:Organization
Organization Name:INDIANA UNITED METHODIST CHILDREN'S HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTORCEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:LAPINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:765-482-5900
Mailing Address - Street 1:PO BOX 747
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:IN
Mailing Address - Zip Code:46052-0747
Mailing Address - Country:US
Mailing Address - Phone:765-482-5900
Mailing Address - Fax:765-482-5942
Practice Address - Street 1:515 W CAMP ST
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:IN
Practice Address - Zip Code:46052-1648
Practice Address - Country:US
Practice Address - Phone:765-482-5900
Practice Address - Fax:765-482-5942
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-16
Last Update Date:2011-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN152842933322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children