Provider Demographics
NPI:1174746341
Name:IN-PACT INC.
Entity type:Organization
Organization Name:IN-PACT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:HERBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:GRULKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-662-1905
Mailing Address - Street 1:12300 MARSHALL ST
Mailing Address - Street 2:
Mailing Address - City:CROWN POINT
Mailing Address - State:IN
Mailing Address - Zip Code:46307-4808
Mailing Address - Country:US
Mailing Address - Phone:219-662-1905
Mailing Address - Fax:219-662-4095
Practice Address - Street 1:12300 MARSHALL ST
Practice Address - Street 2:
Practice Address - City:CROWN POINT
Practice Address - State:IN
Practice Address - Zip Code:46307-4808
Practice Address - Country:US
Practice Address - Phone:219-662-1905
Practice Address - Fax:219-662-4095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251S00000XAgenciesCommunity/Behavioral Health
Not Answered315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities