ICR OPERATING SUBSIDIARY, LLC – Psychiatric Residential Treatment Facility, NPI 1629928767

ICR OPERATING SUBSIDIARY, LLC is a healthcare provider. based in Bloomington, Indiana. specializing in Psychiatric Residential Treatment Facility. The NPI Number for ICR OPERATING SUBSIDIARY, LLC is 1629928767

Main info

Organization
Name
ICR OPERATING SUBSIDIARY, LLC
NPI
1629928767
Phone
(812) 393-5596
Address
909 W 1st St
Authorized Official
DANIEL MOORE AUTHORIZED OFFICIAL
Enumeration Date
29 January 2026
Last Update Date
25 March 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness85
Years active:0State licenses:0Digital endpointsOther names

Provider Addresses for ICR OPERATING SUBSIDIARY, LLC

  • 909 W 1st St

    Bloomington, IN 474032274

    Phone: (812) 393-5596

    Type: Location

  • 637 S Walker St Ste 2

    Bloomington, IN 474032175

    Phone: (812) 393-5596

    Type: Location

  • 421 W 1st St

    Bloomington, IN 474032403

    Phone: (812) 393-5596

    Type: Location

  • 1000 W 1st St

    Bloomington, IN 474032208

    Phone: (812) 393-5596

    Type: Location

  • 2925 10TH AVE N

    PALM SPRINGS, FL 334613000

    Phone:

    Type: Mailing

  • 1004 W 1ST ST

    BLOOMINGTON, IN 474032208

    Phone: (812) 393-5596

    Type: Location

  • 421 W 1st ST

    BLOOMINGTON, IN 474032403

    Phone: (561) 517-3400

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 47403)

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Reviews

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Frequently asked questions

What federal number belongs to ICR OPERATING SUBSIDIARY, LLC?
The federal identifier for ICR OPERATING SUBSIDIARY, LLC is NPI 1629928767.
Does this profile mean ICR OPERATING SUBSIDIARY, LLC is currently active?
Yes — ICR OPERATING SUBSIDIARY, LLC appears active in the national provider directory.
What field does ICR OPERATING SUBSIDIARY, LLC work in?
You can think of ICR OPERATING SUBSIDIARY, LLC as practicing within Psychiatric Residential Treatment Facility. Clinical services aligned with this taxonomy classification.
Does ICR OPERATING SUBSIDIARY, LLC practice in Indiana?
You will see Bloomington, Indiana on file for ICR OPERATING SUBSIDIARY, LLC alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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