Organization
TRADEWINDS SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JON GOLD (CHIEF EXECUTIVE OFFICER)
(219) 945-0100
Entity
Organization
Contact information
Practice address
3198 E 83RD PL, MERRILLVILLE, IN 46410-6418
(219) 945-0100
(219) 940-3369
Mailing address
3198 E 83RD PL, MERRILLVILLE, IN 46410-6418
(219) 945-0100
(219) 940-3369
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
31000137A
IN
235Z00000X
Speech-Language Pathologist
22003978A
IN
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100229500
—
IN
05
—
100243200
—
IN
05
—
100243530
—
IN
05
—
100248690
—
IN
05
—
100249270
—
IN
05
—
200059730
—
IN
05
—
200714400
—
IN
Enumeration date
10/02/2006
Last updated
04/21/2015
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