MR. ROGER LEE HIGGINS JR. (NPI# 1750538427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750538427 |
| Entity Type | Individual |
| Full Name | MR. ROGER LEE HIGGINS JR. |
| Practice Address |
6104 W Lake South Dr Apt A Indianapolis IN 46224-7647 |
| Practice Telephone | 3176032694 |
| Mailing Telephone | 3176032694 |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2008-08-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
6104 W LAKE SOUTH DR APT A |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46224-7647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679050033 | O&a Homecare Services, LLC | Home Health Aide | 2307 Hermitage Ct Apt 709, Indianapolis, IN 46224 | 2018-07-27 |
| 1760976039 | Felecia Shelby | Home Health | 1850 Foyt Drive Apt D, Indianapolis, IN 46224 | 2018-06-19 |
| 1154832020 | Wendy A Booker | Nurse Practitioner | 1011 Main St Ste 140, Indianapolis, IN 46224 | 2017-10-19 |
| 1720439516 | Adam Kyle Craig | Counselor | 5610 Crawfordsville Rd., Suite 2201, Indianapolis, IN 46224 | 2016-06-23 |
| 1407223506 | Gouri Chitalapudi | Physical Therapist | 819 Auburn Hill Dr Apt C, Indianapolis, IN 46224 | 2015-08-25 |
| 1710266770 | Starr Angeline Song | Contractor | 2819 Embassy Row, 819, Indianapolis, IN 46224 | 2011-08-09 |
| 1699075739 | Accuquest Hearing Centers, LLC | Clinic/Center | 5620 Crawfordsville Road, Suite Q, Speedway, IN 46224 | 2010-10-22 |
| 1659549962 | Guy Elliot Lovell Sr. | Social Worker | 25 Beachway Drive, Suite C, Indianapolis, IN 46224 | 2008-02-20 |
| 1316128614 | Indianapolis Independent Pediatricians, P.C. | Pediatrics | 777 Beachway Drive, Suite 210, Indianapolis, IN 46224 | 2007-11-15 |
| 1568673119 | Speedway Optical | Eyewear Supplier (Equipment, not the service) | 1602 Cunningham Dr, Indianapolis, IN 46224 | 2007-05-25 |
| Find all providers in zip 46224 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750851192 | Stimuli Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6670 Kinnerton Dr, Indianapolis, IN 46254-5843 | 2018-11-28 |
| 1659847168 | Assured Residential and Consulting, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5555 N Tacoma Ave Ste 101, Indianapolis, IN 46220-3551 | 2018-10-23 |
| 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 |
| 1497144042 | Jennifer Whitlow | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6710 Waverhill Dr, Indianapolis, IN 46217-9101 | 2015-01-21 |
| 1659677839 | Sycamore Rehab Services/hendricks Co. Arc, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10 W Hanna Ave, Indianapolis, IN 46217-5102 | 2011-02-04 |
| 1528375896 | National Mentor Healthcare LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10129 Penrith Dr, Indianapolis, IN 46229-1397 | 2010-09-08 |
| 1063728723 | National Mentor Healthcare, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6705 E 49th St, Indianapolis, IN 46226-2549 | 2010-08-19 |
| 1982910675 | National Mentor Healthcare LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9740 E 21st St, Indianapolis, IN 46229-1708 | 2010-08-19 |
| 1396051009 | National Mentor Healthcare LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5754 Twin River Ln, Indianapolis, IN 46239-5802 | 2010-08-19 |
| 1821267576 | Access LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7437 Sharzad Pl, Indianapolis, IN 46227-5432 | 2008-02-27 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46224 |
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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.