TEHA NORTH 17TH
NPI 1508985086
Intermediate Care Facility, Intellectual Disabilities in Terre Haute, IN

Active since March 28, 2007
4475 N 17TH ST, TERRE HAUTE, IN 47805(812) 466-4886 Get Directions Write a Review

NPPES record last updated: August 20, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Intermediate Care Facility, Intellectual...

About TEHA NORTH 17TH

This page provides the complete NPI Profile along with additional information for Teha North 17th, a provider established in Terre Haute, Indiana operating as a Intermediate Care Facility, Intellectual Disabilities. The healthcare provider is registered in the NPI registry with number 1508985086 assigned on March 2007. The practitioner's primary taxonomy code is 315P00000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's other name is Teha North 17th. The authorized official of this NPI record is Deena Ombres (Privacy Officer)

NPI
1508985086 Verify this NPI
Provider Legal Name
NORMAL LIFE OF INDIANA
Other Organization Name
TEHA NORTH 17TH
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
4475 N 17TH ST TERRE HAUTE, IN 47805
Location Phone
(812) 466-4886
Mailing Address
9901 LINN STATION RD LOUISVILLE, KY 40223
Mailing Phone
(800) 866-0860
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-28-2007
Last Update Date
08-20-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Intermediate Care Facility, Intellectual Disabilities

Taxonomy Code
315P00000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
An intermediate care facility providing services for individuals with intellectual disabilities.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DEENA OMBRES

Authorized Official Title
PRIVACY OFFICER
Authorized Official Phone
(502) 397-2387

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
100245140AMEDICAID (05)IN 

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508985086, enumerated as an "organization" on March 28, 2007.

The provider is located at 4475 N 17TH ST TERRE HAUTE, IN 47805 and the phone number is (812) 466-4886.

Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.