MUSLIM RE-ENTRY NETWORK OF INDIANA (NPI# 1326519661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326519661 |
| Entity Type | Organization |
| Organization Name | MUSLIM RE-ENTRY NETWORK OF INDIANA |
| Practice Address |
5525 Georgetown Rd Ste E Indianapolis IN 46254-3717 |
| Mailing Address |
4961 Seville Dr Indianapolis IN 46228-2176 |
| Practice Telephone | 3173138923 |
| Mailing Telephone | 3173138923 |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |
| Authorized Official Name | MR. KHABIR A SHAREEF (EX. DIRECTOR) |
| Authorized Official Telephone | 3173138923 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | MUSLIM RE-ENTRY NETWORK OF INDIANA, INC. | 4961 Seville Dr, Indianapolis, IN 46228 |
| Street Address |
5525 GEORGETOWN RD STE E |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46254-3717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427673052 | Sanders Empowerment Services LLC | Social Worker | 5026 Clarkson Drive, Indianapolis, IN 46254 | 2020-06-09 |
| 1316587660 | Yulisa Carrera-ochoa | Behavior Technician | 6925 Parkdale Place, Indianapolis, IN 46254 | 2020-01-14 |
| 1396230140 | Emeri Taivalkoski | Registered Nurse | Eskenazi Health West 38th Street, 5515 38th St, Indianapolis, IN 46254 | 2018-06-25 |
| 1811499759 | Sara Peterson | Speech-Language Pathologist | 4102 Shore Drive, Indianapolis, IN 46254 | 2018-03-07 |
| 1427560002 | Swan Garden Home Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4906 Quail Ridge Ln, Indianapolis, IN 46254 | 2017-11-03 |
| 1477083475 | Sherry Mason | Counselor | 5959 Staffordshire Cir, Indianapolis, IN 46254 | 2017-06-13 |
| 1790111680 | The Health and Hospital Corporation of Marion County | Pharmacy | 5515 W 38th St Ste 1200, Indianapolis, IN 46254 | 2013-09-24 |
| 1790051563 | Theracare | Skilled Nursing Facility | 5356 Holly Springs Ct, Indianapolis, IN 46254 | 2012-03-27 |
| 1750659827 | Apollon | Counselor | 5362 Deer Creek Drive, Indianapolis, IN 46254 | 2011-12-05 |
| 1235413253 | Irene Williams | Pharmacist | 6269 W. 38th St, Indianapolis, IN 46254 | 2011-10-10 |
| Find all providers in zip 46254 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629695739 | Connieflower Behavioral Health | Community/Behavioral Health | 6738 Tramcus Dr, Indianapolis, IN 46260-4586 | 2020-07-06 |
| 1437773322 | Carter Counseling Services LLC | Community/Behavioral Health | 1387 N Shadeland Ave Ste B, Indianapolis, IN 46219-3605 | 2020-06-05 |
| 1619500626 | Family Strength Services | Community/Behavioral Health | 10026 E 21st St Ste 9, Indianapolis, IN 46229-1802 | 2020-02-18 |
| 1174167720 | Benevolent Care LLC. | Community/Behavioral Health | 5645 E Raymond St, Indianapolis, IN 46203-4967 | 2019-11-06 |
| 1568925154 | Siha Center LLC | Community/Behavioral Health | 11659 Sinclair Dr, Indianapolis, IN 46235-6030 | 2019-04-10 |
| 1891250411 | Eight-two Counseling LLC | Community/Behavioral Health | 4360 W 38th St Ste 7a, Indianapolis, IN 46254-3310 | 2019-02-07 |
| 1043775034 | The Transition House of Indiana, Inc. | Community/Behavioral Health | 10531 E 10th St, Indianapolis, IN 46229-2604 | 2019-02-05 |
| 1407331671 | Davetta Sanders | Community/Behavioral Health | 1618 Rogers Ct, Indianapolis, IN 46214-2256 | 2018-10-03 |
| 1457836959 | Crystal Sheri Gilbert | Community/Behavioral Health | 2223 Willowview Dr, Indianapolis, IN 46239-7733 | 2018-10-01 |
| 1578048005 | Stepping Stone Therapy Center LLC | Community/Behavioral Health | 9165 Otis Ave Ste 109, Indianapolis, IN 46216-2307 | 2018-10-01 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46254 |
Please comment or provide details below to improve the information on MUSLIM RE-ENTRY NETWORK OF INDIANA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.