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PADDOCK VIEW RESIDENTIAL CENTER, INC.
NPI 1396082863
Community/Behavioral Health in Marion, IN

Active since January 03, 2013CLIA 15D2237195 · Waiver
1700 E BRADFORD PIKE, MARION, IN 46952(765) 664-7740(765) 664-7743 Get Directions Write a Review

NPPES record last updated: January 3, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Paddock View Residential Center, Inc. NPPES

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

PADDOCK VIEW RESIDENTIAL CENTER, INC. (NPI 1396082863) is a healthcare organization registered as a community/behavioral health in Marion, Indiana and active in the NPI registry since January 2013. The organization holds a CLIA Waiver certificate valid through September 22, 2027 and lists Carol W. Boyle, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1396082863
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NamePADDOCK VIEW RESIDENTIAL CENTER, INC.
Location Address1700 E BRADFORD PIKEMarion, IN 46952-8643
Mailing Address1700 E Bradford PikeMarion, IN 46952-8643 · (765) 664-7740 · Fax (765) 664-7743
Phone(765) 664-7740
Fax(765) 664-7743
Organization SubpartNo
Authorized OfficialCarol W. BoyleExecutive Director · (765) 664-7740
Enumeration DateJanuary 3, 2013
✔ NPI 1396082863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in IN · 20041950A
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1700 E BRADFORD PIKE, Marion, IN 46952
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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 15D2237195

Paddock View Residential Center, Inc · Marion, IN
Active · expires Sep 22, 2027
CLIA Number15D2237195
Laboratory TypeResidential Treatment Pro
Certificate Effective DateSeptember 23, 2025
Certificate Expiration DateSeptember 22, 2027
Laboratory DirectorCarol W. Boyle
Laboratory Phone(765) 664-7740
Laboratory LocationPaddock View Residential Center, Inc1700 East Bradford Street, Marion, IN 46952
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

MR. LOGAN DOUGLASS WAGNER LSW
Social Worker
1700 E BRADFORD PIKE
MARION, IN 46952
Grant County (765) 664-7740

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 Paddock View Residential Center, Inc.'s NPI number?

The NPI number for Paddock View Residential Center, Inc. is 1396082863. It was assigned to this organization in the NPPES registry on January 3, 2013.

Where is Paddock View Residential Center, Inc. located?

Paddock View Residential Center, Inc. is located at 1700 E Bradford Pike, Marion, IN 46952. The listed phone number is (765) 664-7740.

What is Paddock View Residential Center, Inc.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does Paddock View Residential Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2237195) is associated with this NPI, valid through September 22, 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 Paddock View Residential Center, Inc. was last updated on January 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.