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MACON MENTOR ACADEMY
NPI 1609127646
Respite Care - Respite Care, Intellectual and/or Developmental Disabilities in Bloomington, IN

Active since October 01, 2012
3451 N KINGSLEY DR, BLOOMINGTON, IN 47404(317) 480-2949(812) 369-4082 Get Directions Write a Review

NPPES record last updated: October 1, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Macon Mentor Academy NPPES

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

MACON MENTOR ACADEMY (NPI 1609127646) is a healthcare organization registered as a respite care, intellectual and/or developmental disabilities in Bloomington, Indiana and active in the NPI registry since October 2012. The organization lists Jerry Lee Macon, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1609127646
Entity TypeOrganization
Primary Taxonomy385HR2060X
Legal Business NameMACON MENTOR ACADEMY
Location Address3451 N KINGSLEY DRBloomington, IN 47404-1717
Mailing Address3451 N Kingsley DrBloomington, IN 47404-1717 · (317) 480-2949 · Fax (812) 369-4082
Phone(317) 480-2949
Fax(812) 369-4082
Organization SubpartNo
Authorized OfficialJerry Lee MaconExecutive Director · (317) 480-2949
Enumeration DateOctober 1, 2012
✔ NPI 1609127646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRespite Care · Respite Care, Intellectual and/or Developmental DisabilitiesRespite Care Facility
Taxonomy Code385HR2060X
Definition
A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
3451 N KINGSLEY DR, Bloomington, IN 47404
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Other Identifiers 1

Medicaid201091380 AIN

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 Macon Mentor Academy's NPI number?

The NPI number for Macon Mentor Academy is 1609127646. It was assigned to this organization in the NPPES registry on October 1, 2012.

Where is Macon Mentor Academy located?

Macon Mentor Academy is located at 3451 N Kingsley Dr, Bloomington, IN 47404. The listed phone number is (317) 480-2949.

What is Macon Mentor Academy's specialty?

The primary specialty registered for this NPI is Respite Care, specializing in Respite Care, Intellectual and/or Developmental Disabilities, with taxonomy code 385HR2060X.

When was this NPI record last updated?

The NPPES record for Macon Mentor Academy was last updated on October 1, 2012. 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.