OrganizationActive
Residential Crf, Inc.
NPI 1104967751 · Intellectual Disabilities Intermediate Care Facility · Modoc, IN
Provider details
- NPI number
- 1104967751
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Raymond Mauger, President(765) 825-5129
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8500 W US Highway 36
Modoc, IN 47358-9495
Phone: (765) 853-5009
Street-level locationGet directions
Mailing address
1117 N Central Ave
Connersville, IN 47331-2126
Registry dates
- Enumerated
- 2007-02-08
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.