MEDICARE: GOODWILL INDUSTRIES OF CENTRAL INDIANA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251C00000X	Developmentally Disabled Services Day Training Agency		IN

General Provider Information

NPI Number	:	1558582098
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOODWILL INDUSTRIES OF CENTRAL INDIANA

Provider Business Mailing Address
First Line	:	1635 W MICHIGAN ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46222-4389
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	413 N TREMONT ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46222-3772
Country	:	US
Telephone Number	:	317-524-4343
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT OF WORKFORCE SERVICE
Name	:	JIM HUMPHREY
Credential	:
Telephone Number	:	317-524-4204

Provider Enumeration Date	:	05/01/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1386502532 — COVERED BRIDGE HEALTH SERVICES LLC
Practice Location Address:

5610 CRAWFORDSVILLE RD STE 1203
INDIANAPOLIS, IN
46224-3772

Practice Phone: 317-557-0988
Practice Fax:

1922215748 — DR. ELIZABETH BERGER M.D
Practice Location Address:

251 BERKLEY RD
INDIANAPOLIS, IN
46208-3772

Practice Phone: 215-740-3090
Practice Fax:

1649362757 — JOHN L GEORGE MD
Practice Location Address:

3520 GUION RD , SUITE 301
INDIANAPOLIS, IN
46222-1692

Practice Phone: 317-924-4009
Practice Fax: 317-926-8410

1437153095 — CHARLES J. WALKER DO
Practice Location Address:

3660 GUION RD
INDIANAPOLIS, IN
46222-1697

Practice Phone: 317-920-7139
Practice Fax: 317-920-7229

1366446783 — CASIMIR R STARSIAK DO
Practice Location Address:

3660 GUION RD , STE 310
INDIANAPOLIS, IN
46222-1697

Practice Phone: 317-644-5005
Practice Fax:

1609871292 — MCCARROLL MANAGEMENT CORPORATION
Practice Location Address:

1316 N TIBBS AVE
INDIANAPOLIS, IN
46222-3024

Practice Phone: 317-634-8330
Practice Fax: 317-263-9442

Directions to “GOODWILL INDUSTRIES OF CENTRAL INDIANA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.