AMETHYST HOUSE, INC. – NPI #1770709230
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

AMETHYST HOUSE, INC. is a substance abuse rehabilitation facility located in BLOOMINGTON, IN. NPPES has assigned the NPI number 1770709230 to AMETHYST HOUSE, INC. on April 17, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was previously updated about 15 years ago on Sep 26, 2011. 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 AMETHYST HOUSE, INC. below.

NPI Profile for
AMETHYST HOUSE, INC.

NPI Number
1770709230
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
AMETHYST HOUSE, INC.
Primary location
645 N WALNUT ST
BLOOMINGTON, IN 47404-3846
Phone: (812) 336-3570 Fax: (812) 336-9010
Mailing address
PO BOX 11
BLOOMINGTON, IN 47402-0011
Phone: (812) 336-3570 Fax: (812) 336-9010
Organization Subpart
No
Authorized Official
MARK DELONG
EXECUTIVE DIRECTOR
Phone: (812) 336-3570
Updated
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
324500000X
- Substance Abuse Rehabilitation Facility (Primary)
IN 1279-0 CA
251S00000X
- Community/Behavioral Health
IN 1279-0 ASR

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.