Healthcare Provider Details

I. General information

NPI: 1194990531
Provider Name (Legal Business Name): CARDINAL SERVICES INC OF INDIANA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2008
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

504 N. BAY DR.
WARSAW IN
46580-4627
US

IV. Provider business mailing address

504 N. BAY DR.
WARSAW IN
46580-4627
US

V. Phone/Fax

Practice location:
  • Phone: 574-267-3823
  • Fax: 574-267-6200
Mailing address:
  • Phone: 574-267-3823
  • Fax: 574-267-6200

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. DONNA KRISTEEN ELBRECHT
Title or Position: CEO/PRESIDENT
Credential:
Phone: 574-267-3823