Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Icr Operating Subsidiary, LLC

Organization Substance Use Disorder Rehabilitation Clinic/Center · NPI 1629928767

Icr Operating Subsidiary, LLC is a Substance Use Disorder Rehabilitation Clinic/Center in Bloomington, Indiana. Works from 5 locations. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1004 W 1st St
Bloomington, IN 47403-2208
Phone: (812) 393-5596
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 637 S Walker St Ste 2, Bloomington, IN 47403-2175 — (812) 393-5596
  • 909 W 1st St, Bloomington, IN 47403-2274 — (812) 393-5596
  • 1000 W 1st St, Bloomington, IN 47403-2208 — (812) 393-5596
  • 421 W 1st St, Bloomington, IN 47403-2403 — (812) 393-5596

Specialties & licences

Psychiatric Residential Treatment Facility (primary) Taxonomy 323P00000X
Substance Use Disorder Rehabilitation Clinic/Center Taxonomy 261QR0405X
Mental Illness Community Based Residential Treatment Facility Taxonomy 320800000X
Substance Abuse Rehabilitation Facility Taxonomy 324500000X

Record details

NPI number1629928767
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tara Gurney — Authorized Official · (561) 517-3400
NPI enumeratedJanuary 29, 2026
Last updated in NPPESMay 28, 2026
Certification dateMay 28, 2026
Mailing address2925 10th Ave N, Palm Springs, FL 33461-3000

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