500 NORTH
NPI 1144348202
Intermediate Care Facility, Intellectual Disabilities in Churubusco, IN

Active since March 27, 2007CLIA 15D2316852 · Waiver
5990 E 500 NORTH, CHURUBUSCO, IN 46723(812) 273-0523 Get Directions Write a Review

NPPES record last updated: July 16, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About 500 North NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

500 NORTH (NPI 1144348202) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Churubusco, Indiana and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through January 13, 2027 and lists Deena Ombres, Privacy Officer, as its authorized official.

NPPES Registry Identity

NPI1144348202
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameVOCA OF INDIANA LLC
Location Address5990 E 500 NORTHChurubusco, IN 46723
Mailing Address9901 Linn Station RdLouisville, KY 40223-3808 · (800) 866-0860
Organization SubpartNo
Authorized OfficialDeena OmbresPrivacy Officer · (502) 394-2387
Enumeration DateMarch 27, 2007
Last NPPES UpdateJuly 16, 2008
NPI 1144348202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
5990 E 500 NORTH, Churubusco, IN 46723

Other Names 1

Other Name500 North

Other Identifiers 1

Medicaid100243290BIN

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2316852

500 N · Churubusco, IN
Active · expires Jan 13, 2027
CLIA Number15D2316852
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateJanuary 14, 2025
Certificate Expiration DateJanuary 13, 2027
Laboratory DirectorJaela Nichelson
Laboratory Phone(260) 693-2341
Laboratory Location500 N5900 E County Road 500 N, Churubusco, IN 46723
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Voca Of Indiana LLC's NPI number?

The NPI number for Voca Of Indiana LLC is 1144348202. It was assigned to this organization in the NPPES registry on March 27, 2007. The provider is also known as 500 North.

Where is Voca Of Indiana LLC located?

Voca Of Indiana LLC is located at 5990 E 500 North, Churubusco, IN 46723. The listed phone number is (812) 273-0523.

What is Voca Of Indiana LLC's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Does Voca Of Indiana LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2316852) is associated with this NPI, valid through January 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Voca Of Indiana LLC was last updated on July 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.