INDIANA SUPPORT SERVICES GROUP LLC (NPI# 1720588072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720588072 |
Entity Type | Organization |
Organization Name | INDIANA SUPPORT SERVICES GROUP LLC |
Other Organization Name | INDIANA SUPPORT SERVICES GROUP |
Practice Address |
921 E 86th St Ste 205 Indianapolis IN 46240-1841 |
Practice Telephone | 5744409616 |
Enumeration Date | 2018-02-13 |
Last Update Date | 2018-02-13 |
Authorized Official Name | TERES FOSTER (MEMBER) |
Authorized Official Telephone | 5744409616 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
Other Name | Type Code |
---|---|
Indiana Support Services Group | Doing Business As Name - Organization |
Street Address |
921 E 86TH ST STE 205 |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46240-1841 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669952586 | M. D. Housecalls LLC | General Practice | 921 E 86th St Ste 205, Indianapolis, IN 46240-1841 | 2018-08-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124674908 | Indianapolis Neurobehavioral Health Center LLC | Psychologist | 921 E. 86th St., Suite 210 C, Indianapolis, IN 46240 | 2019-08-16 |
1720507999 | Refractive Surgery Professionals LLC | Clinic/Center | 8500 Keystone Xing Ste 150, Indianapolis, IN 46240 | 2017-09-19 |
1184148892 | Hannah Hoyt | Specialist/Technologist | 9504 N. Washington Blvd, Indianapolis, IN 46240 | 2017-08-03 |
1134657455 | Donann Kissick | Speech-Language Pathologist | 450 E 96th St., Suite 500, Indianapolis, IN 46240 | 2017-05-31 |
1992138804 | George Byington Pratt IIi | Radiology | 9015 Crystal Lake Drive, Indianapolis, IN 46240 | 2013-08-14 |
1871934513 | Kayla Harpenau | Occupational Therapist | 7405 Westfield Blvd, Indianapolis, IN 46240 | 2013-07-10 |
1235483835 | Christina Marie Wilson | Nurse Practitioner | 8888 Keystone Crossing, Suite 1300, Indianapolis, IN 46240 | 2012-11-04 |
1770850927 | Holly Bergeron | Pharmacist | 1505 E 86th Street, Indianapolis, IN 46240 | 2011-11-16 |
1104128214 | Meghan Kyle Fricke | Physician Assistant | 860 E 86th St Ste 4, Indianapolis, IN 46240 | 2010-11-22 |
1689901118 | Katherine Jane Russell | Audiologist | 2001 W. 86th St., Indianapolis, IN 46240 | 2009-11-04 |
Find all providers in zip 46240 |
Taxonomy Code | 251C00000X |
Grouping | Agencies |
Classification | Day Training, Developmentally Disabled Services |
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932714318 | Latisha Clark | Day Training, Developmentally Disabled Services | 4909 E 18th St, Indianapolis, IN 46218-4609 | 2020-09-11 |
1821576877 | Kreation Residential Services | Day Training, Developmentally Disabled Services | 9941 E 42nd St, Indianapolis, IN 46235-1675 | 2018-08-01 |
1205334208 | Input Residential | Day Training, Developmentally Disabled Services | 8117 E Washington St, Indianapolis, IN 46219-6813 | 2018-01-25 |
1659746709 | The Altruist Group, LLC | Day Training, Developmentally Disabled Services | 9165 Otis Ave, Suite 235, Indianapolis, IN 46216-2027 | 2015-12-01 |
1275958001 | Advocating Angels | Day Training, Developmentally Disabled Services | 55 S State Ave Ste 302, Indianapolis, IN 46201-3895 | 2014-03-04 |
1114225992 | Kathryn Huff | Day Training, Developmentally Disabled Services | 1003 S Fleming St, Indianapolis, IN 46241-2412 | 2011-03-03 |
1225364672 | The Arc of Indiana | Day Training, Developmentally Disabled Services | 107 N Pennsylvania St, Suite 800, Indianapolis, IN 46204-2444 | 2009-10-20 |
1558582098 | Goodwill Industries of Central Indiana | Day Training, Developmentally Disabled Services | 413 N Tremont St, Indianapolis, IN 46222-3772 | 2007-05-01 |
1720142953 | Quinton Residential Living | Day Training, Developmentally Disabled Services | 2511 E 46th St, Suite J-3, Indianapolis, IN 46205-2460 | 2006-12-21 |
1255406500 | Heartland Residential Services, Inc. | Day Training, Developmentally Disabled Services | 156 E Market St, Suite 200, Indianapolis, IN 46204-3290 | 2006-11-22 |
Find all providers in INDIANAPOLIS |
City | INDIANAPOLIS |
Zip Code | 46240 |
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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.