BLUE RIVER SERVICES, INC. – NPI #1184747313
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

BLUE RIVER SERVICES, INC. is a community based residential treatment facility located in MILLTOWN, IN. NPPES has assigned the NPI number 1184747313 to BLUE RIVER SERVICES, INC. on April 10, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

The NPI profile was previously updated about 13 years ago on May 03, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BLUE RIVER SERVICES, INC. below.

NPI Profile for
BLUE RIVER SERVICES, INC.

NPI Number
1184747313
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BLUE RIVER SERVICES, INC.
Primary location
5771 E. SPEED RD
MILLTOWN, IN 47145
Phone: (812) 365-2451 Fax:
Mailing address
PO BOX 547
CORYDON, IN 47112-0547
Phone: (812) 738-2408 Fax: (812) 738-6281
Organization Subpart
No
Authorized Official
DANIEL LOWE
PRESIDENT CEO
Phone: (812) 738-2408
Updated
Identifiers

Identifiers for BLUE RIVER SERVICES, INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIN100385530 A
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)		 IN

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.