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CAMPBELL
NPI 1417075128
Intermediate Care Facility, Intellectual Disabilities in Indianapolis, IN

Active since March 27, 2007CLIA 15D2096069 · Waiver
4160 CAMPBELL AVE, INDIANAPOLIS, IN 46226(812) 273-0523 Get Directions Write a Review

NPPES record last updated: November 25, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Campbell NPPES

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

CAMPBELL (NPI 1417075128) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Indianapolis, Indiana and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through September 14, 2027 and lists Denisha Connor, Provider Enrollment, as its authorized official.

NPPES Registry Identity

NPI1417075128
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameVOCA OF INDIANA LLC
Location Address4160 CAMPBELL AVEIndianapolis, IN 46226-4841
Mailing Address805 N Whittington PkwyLouisville, KY 40222-7101 · (800) 866-0860
Phone(812) 273-0523
Organization SubpartNo
Authorized OfficialDenisha ConnorProvider Enrollment · (502) 630-7421
Enumeration DateMarch 27, 2007
Last NPPES UpdateNovember 25, 2024
NPPES CertifiedNovember 25, 2024
✔ NPI 1417075128 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.

4160 CAMPBELL AVE, Indianapolis, IN 46226
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Other Names 1

Other NameCampbell

Other Identifiers 1

Medicaid100245090BIN

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 15D2096069

Campbell · Indianapolis, IN
Active · expires Sep 14, 2027
CLIA Number15D2096069
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateSeptember 15, 2025
Certificate Expiration DateSeptember 14, 2027
Laboratory DirectorJeff Rubin
Laboratory Phone(317) 545-9241
Laboratory LocationCampbell4160 N Campbell, Indianapolis, IN 46226
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 1417075128. It was assigned to this organization in the NPPES registry on March 27, 2007.

Where is Voca Of Indiana LLC located?

Voca Of Indiana LLC is located at 4160 Campbell Ave, Indianapolis, IN 46226. 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 15D2096069) is associated with this NPI, valid through September 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 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.