TIP TOE INN
NPI 1720422827
Community/Behavioral Health in Gary, IN

Active since April 19, 2013
839 BROADWAY # 104, GARY, IN 46402(773) 419-1526(219) 882-0210 Get Directions Write a Review

NPPES record last updated: April 19, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Community/Behavioral Health

About TIP TOE INN

This page provides the complete NPI Profile along with additional information for Tip Toe Inn, a provider established in Gary, Indiana operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1720422827 assigned on April 2013. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Wanda Hargrave (Ceo)

NPI
1720422827 Verify this NPI
Provider Name
TIP TOE INN
Entity Type
Organization
Location Address
839 BROADWAY # 104 GARY, IN 46402
Location Phone
(773) 419-1526
Location Fax
(219) 882-0210
Mailing Address
839 BROADWAY # 104 GARY, IN 46402
Mailing Phone
(773) 419-1526
Mailing Fax
(219) 882-0210
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-19-2013
Last Update Date
04-19-2013
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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

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
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.

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

WANDA HARGRAVE

Authorized Official Title
CEO
Authorized Official Phone
(773) 419-1526

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720422827, enumerated as an "organization" on April 19, 2013.

The provider is located at 839 BROADWAY # 104 GARY, IN 46402 and the phone number is (773) 419-1526.

Community/Behavioral Health with taxonomy code 251S00000X.