Provider Demographics
NPI:1194770636
Name:CHILD-ADULT RESOURCE SERVICES, INC.
Entity type:Organization
Organization Name:CHILD-ADULT RESOURCE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BASIL
Authorized Official - Middle Name:
Authorized Official - Last Name:WEINMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-569-2076
Mailing Address - Street 1:201 N DORMEYER AVE
Mailing Address - Street 2:P.O. BOX 170
Mailing Address - City:ROCKVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47872-8107
Mailing Address - Country:US
Mailing Address - Phone:765-569-2076
Mailing Address - Fax:765-569-4091
Practice Address - Street 1:206 WEST STATE STREET
Practice Address - Street 2:
Practice Address - City:KINGMAN
Practice Address - State:IN
Practice Address - Zip Code:47952
Practice Address - Country:US
Practice Address - Phone:765-397-3320
Practice Address - Fax:765-397-3320
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN2637T0005DE08251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care