EAST INDIANA TREATMENT CENTER, LLC
NPI 1013060714
Clinic/Center - Methadone in Greendale, IN
NPI Status: Active since January 18, 2007
Contact Information
816 RUDOLPH WAY
GREENDALE, IN
ZIP 47025
Phone: (812) 537-1668
Fax: (812) 537-1625
- Organization
- Clinic/Center
- Methadone
- Accepts Insurance
About EAST INDIANA TREATMENT CENTER, LLC
This page provides the complete NPI Profile along with additional information for East Indiana Treatment Center, Llc, a provider established in Greendale, Indiana operating as a Clinic/center, focusing in methadone . The healthcare provider is registered in the NPI registry with number 1013060714 assigned on January 2007. The practitioner's primary taxonomy code is 261QM2800X with license number 10780ASR (IN). The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Peter F Morris (President, Ctc Division)
- NPI
- 1013060714
- Provider Name
- EAST INDIANA TREATMENT CENTER, LLC
- Entity Type
- Organization
- Location Address
- 816 RUDOLPH WAY GREENDALE, IN 47025
- Location Phone
- (812) 537-1668
- Location Fax
- (812) 537-1625
- Mailing Address
- 6185 PASEO DEL NORTE STE 150 CARLSBAD, CA 92011
- Mailing Phone
- (760) 710-0819
- Mailing Fax
- (812) 537-1625
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 01-18-2007
- Last Update Date
- 07-31-2018
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Methadone
- Taxonomy Code
- 261QM2800X
- Type
- Ambulatory Health Care Facilities
- License No.
- 10780ASR
- License State
- IN
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261Q00000X | Ambulatory Health Care Facilities | Clinic/Center | 10780ASR (IN) |
| 2 | 261QR0405X | Ambulatory Health Care Facilities | Clinic/Center | 10780ASR (IN) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Central Bronze - HMO
- Central Bronze + Vision + Adult Dental - HMO
- Central Gold - HMO
- Central Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Anthem Bronze Essential 6500 HSA (+ Incentives) - HMO
- Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Essential 9200 (+ Incentives) - HMO
- Anthem Bronze Essential 9200 Adult Dental/Vision (+ Incentives) - HMO
- Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Essential 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Essential 2200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Heart Healthy Bronze Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Heart Healthy Silver Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Bronze First 7500 $25 Generic Drugs - HMO
- Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Gold 1500 $15 Generic Drugs - HMO
- Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
- HDHP Preventive Silver 5500 $0 Select Drugs - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3000012052 | MEDICAID (05) | IN | |
| 201345410A | MEDICAID (05) | IN | |
| 0279713 | MEDICAID (05) | OH |
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm
Medication assisted treatment, weekly bundle not including the drug, including substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program)
Periodic assessment; assessing periodically by qualified personnel to determine the most appropriate combination of services and treatment (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for
Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure
Medication Assisted Treatment (MAT) with methadone is a comprehensive approach to manage opioid addiction. It includes weekly methadone dispensing, substance use counseling, individual and group therapy sessions, and toxicology tests as needed, all provided by a Medicare-enrolled opioid treatment program.
This service was performed 1,241 times for 37 patientsMedication Assisted Treatment is a comprehensive program for managing substance use. It includes counseling (both individual and group), along with regular toxicology testing if required. This service is provided by a Medicare-enrolled opioid treatment program.
This service was performed 150 times for 13 patientsPeriodic assessment is a routine check-up by trained professionals to determine the best mix of services and treatments for your health needs. This is typically provided by a Medicare-enrolled opioid treatment program. It's listed separately in addition to your main treatment code. This ensures you receive the most suitable care for your situation.
This service was performed 67 times for 29 patientsThis service provides an additional 7-day supply of methadone, a medication used to treat opioid addiction, for patients to take at home. It's provided by a Medicare-enrolled opioid treatment program. This service is billed separately from the main treatment procedure.
This service was performed 327 times for 21 patientsReviews for EAST INDIANA TREATMENT CENTER, LLC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 1 | 3 | 0 | 6 | 0 | 7 | 1 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 2 | 3 | 0 | 6 | 0 | 7 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 2 + 3 + 0 + 6 + 0 + 7 + 2 + 24 = 46 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 46 = 4 | 4 | ||||||||
The NPI number 1013060714 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
LEAH OELKER
Counselor
(Addiction (Substance Use Disorder))
816 RUDOLPH WAY
GREENDALE, IN
ZIP 47025
EAST INDIANA COMPREHENSIVE TREATMENT CENTER
Community/Behavioral Health
816 RUDOLPH WAY
GREENDALE, IN
ZIP 47025
VICKIE HITCHCOCK
Licensed Practical Nurse
816 RUDOLPH WAY
GREENDALE, IN
ZIP 47025
CAROLYN RICHARDS RN
Registered Nurse
(Addiction (Substance Use Disorder))
816 RUDOLPH WAY
GREENDALE, IN
ZIP 47025
MARY ANN DETMER L.P.N.
Licensed Practical Nurse
816 RUDOLPH WAY
GREENDALE, IN
ZIP 47025
SALLY WEBSTER LPN
Licensed Practical Nurse
816 RUDOLPH WAY
GREENDALE, IN
ZIP 47025
BRENDA GULLION
Licensed Practical Nurse
816 RUDOLPH WAY
GREENDALE, IN
ZIP 47025
DR. JESUS DIAZ-MUNIZ MD
General Practice
816 RUDOLPH WAY
GREENDALE, IN
ZIP 47025
JAMIE LYNN BURGESS
Counselor
(Addiction (Substance Use Disorder))
816 RUDOLPH WAY
GREENDALE, IN
ZIP 47025
KATHLEEN E VIDOUREK LPN
Licensed Practical Nurse
816 RUDOLPH WAY
GREENDALE, IN
ZIP 47025
ERIN MOLL CADAC II
Counselor
(Addiction (Substance Use Disorder))
816 RUDOLPH WAY
GREENDALE, IN
ZIP 47025
BRIDGET MAUCHER
Counselor
(Addiction (Substance Use Disorder))
816 RUDOLPH WAY
GREENDALE, IN
ZIP 47025
HAYLEY STEPHENSON
Counselor
(Addiction (Substance Use Disorder))
816 RUDOLPH WAY
GREENDALE, IN
ZIP 47025
MENDI S SLONE
Counselor
(Addiction (Substance Use Disorder))
816 RUDOLPH WAY
GREENDALE, IN
ZIP 47025
MEGAN MASTERS
Counselor
(Addiction (Substance Use Disorder))
816 RUDOLPH WAY
GREENDALE, IN
ZIP 47025
KEVIN PRICE
Counselor
(Addiction (Substance Use Disorder))
816 RUDOLPH WAY
GREENDALE, IN
ZIP 47025
JOSIE BRESSERT
Counselor
(Addiction (Substance Use Disorder))
816 RUDOLPH WAY
GREENDALE, IN
ZIP 47025
HANNAH SKOTT FORD
Counselor
(Addiction (Substance Use Disorder))
816 RUDOLPH WAY
GREENDALE, IN
ZIP 47025
CIARA JADEN NAGEL
Counselor
(Addiction (Substance Use Disorder))
816 RUDOLPH WAY
GREENDALE, IN
ZIP 47025
SABRINA R PHILLIPS
Counselor
(Addiction (Substance Use Disorder))
816 RUDOLPH WAY
GREENDALE, IN
ZIP 47025
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013060714, enumerated as an "organization" on January 18, 2007.
The provider is located at 816 RUDOLPH WAY GREENDALE, IN 47025 and the phone number is (812) 537-1668.
Clinic/Center with taxonomy code 261QM2800X and a focus in Methadone.
The provider might be accepting Accepts: Ambetter from Meridian, Ambetter Health, Ambetter. Please consult your insurance carrier or call the provider to verify.
