DE'LORIA GREEN
NPI 1275905861
Community Based Residential Treatment Facility, Mental Illness in Gary, IN

Active since October 22, 2015
1100 W 6TH AVE, GARY, IN 46402(219) 885-4264 Get Directions Write a Review

NPPES record last updated: October 22, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About De'loria Green NPPES

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

DE'LORIA GREEN (NPI 1275905861) is an individual community based residential treatment facility, mental illness provider in Gary, Indiana and active in the NPI registry since October 2015.

NPPES Registry Identity

NPI1275905861
Entity TypeIndividualFemale
Primary Taxonomy320800000X
Provider Legal NameDE'LORIA GREEN
Location Address1100 W 6TH AVEGary, IN 46402-1711
Mailing Address1100 W 6th AveGary, IN 46402-1711 · (219) 885-4264
Sole ProprietorYes
Enumeration DateOctober 22, 2015
NPI 1275905861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
1100 W 6TH AVE, Gary, IN 46402

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1100 W 6TH AVE
GARY, IN 46402
Behavior Technician
1100 W 6TH AVE
GARY, IN 46402
Technician, Other
1100 W 6TH AVE
GARY, IN 46402
Social Worker
1100 W 6TH AVE
GARY, IN 46402
Technician (Attendant Care Provider)
1100 W 6TH AVE
GARY, IN 46402
Behavior Analyst
1100 W 6TH AVE
GARY, IN 46402
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1100 W 6TH AVE
GARY, IN 46402
Counselor
1100 W 6TH AVE
GARY, IN 46402

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 De'loria Green's NPI number?

The NPI number for De'loria Green is 1275905861. It was assigned to this individual provider in the NPPES registry on October 22, 2015.

Where is De'loria Green located?

De'loria Green practices at 1100 W 6th Ave, Gary, IN 46402. The listed phone number is (219) 885-4264.

What is De'loria Green's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for De'loria Green was last updated on October 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.