What is NPI number 1629928767?

ICR OPERATING SUBSIDIARY, LLC

Psychiatric Residential Treatment Facility

Active Organization

NPI: 1629928767

Practice Address

1004 W 1ST ST
Bloomington, IN 47403

Specialties

Specialty	Code	Primary	License
Community Based Residential Treatment Facility, Mental Illness	320800000X	No	-
Substance Abuse Rehabilitation Facility	324500000X	No	-
Clinic/Center - Rehabilitation, Substance Use Disorder	261QR0405X	No	-
Psychiatric Residential Treatment Facility	323P00000X	Yes	-

Frequently Asked Questions

NPI 1629928767 is the National Provider Identifier for ICR OPERATING SUBSIDIARY, LLC, a Psychiatric Residential Treatment Facility provider located in Bloomington, IN. This NPI was enumerated on January 29, 2026.

Quick Facts

NPI: 1629928767
Type: Organization
Enumerated: Jan 29, 2026
Last Updated: Jan 29, 2026

Nearby Providers

MANDY WEVER, FNP
Nurse Practitioner
LAURA CAMPBELL
Counselor - Mental Health
EMMANUEL ESPINOSA, MD
Family Medicine
DR. BRENDA MALLORY, M.D.
Physical Medicine & Rehabilitation
DR. JENNIFER WINDERS, MD
Family Medicine