National Provider Identifier Database

WHEATFIELD RESIDENTIAL LLC
Residential Treatment Facility, Emotionally Disturbed Children

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.


Contact Information

WHEATFIELD RESIDENTIAL LLC
12501 IN-49
WHEATFIELD, IN46392
Phone: 219-235-9777
Fax:
Website:
Specialty Taxonomy Code
* Residential Treatment Facility, Emotionally Disturbed Children 322D00000X
Mental Health (Including Community Mental Health Center) 261QM0801X

* Indicates primary specialty

NPI Profile & details for WHEATFIELD RESIDENTIAL LLC

NPI Number 1720763006
Legal business name
LBN
WHEATFIELD RESIDENTIAL LLC
Authorized official ANDREW STROUP - (PROGRAM DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 06/15/2023
Last updated 06/15/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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