SOUTH WHITLEY
NPI 1235257395
Intermediate Care Facility, Intellectual Disabilities in Whitley, IN

Active since March 27, 2007CLIA 15D2316926 · Waiver
209 NORTH STATE ST, WHITLEY, IN 46787(812) 273-0523 Get Directions Write a Review

NPPES record last updated: November 15, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About South Whitley NPPES

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

SOUTH WHITLEY (NPI 1235257395) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Whitley, Indiana and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through January 14, 2027 and lists Denisha Connor, Provider Enrollment, as its authorized official.

NPPES Registry Identity

NPI1235257395
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameVOCA OF INDIANA LLC
Location Address209 NORTH STATE STWhitley, IN 46787
Mailing Address805 N Whittington PkwyLouisville, KY 40222-7101 · (800) 866-0860
Organization SubpartNo
Authorized OfficialDenisha ConnorProvider Enrollment · (502) 630-7421
Enumeration DateMarch 27, 2007
Last NPPES UpdateNovember 15, 2024
NPPES CertifiedNovember 15, 2024
NPI 1235257395 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.
209 NORTH STATE ST, Whitley, IN 46787

Other Names 1

Other NameSouth Whitley

Other Identifiers 1

Medicaid100243280BIN

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 15D2316926

South Whitley · South Whitley, IN
Active · expires Jan 14, 2027
CLIA Number15D2316926
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateJanuary 15, 2025
Certificate Expiration DateJanuary 14, 2027
Laboratory DirectorJaela Nichelson
Laboratory Phone(260) 693-2341
Laboratory LocationSouth Whitley408 N Reed Street, South Whitley, IN 46787
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 1235257395. It was assigned to this organization in the NPPES registry on March 27, 2007. The provider is also known as South Whitley.

Where is Voca Of Indiana LLC located?

Voca Of Indiana LLC is located at 209 North State St, Whitley, IN 46787. 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 15D2316926) is associated with this NPI, valid through January 14, 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 November 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.