1407980170 INDIANA MENTOR
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Active
Basic Information
- Organization Name
- INDIANA MENTOR
- Enumeration Date
- March 15, 2007
- Last Update
- December 23, 2024
- Authorized Official
- MARY PATRICIA RODENBERG-ROBERTS
VP & SR. ASST GENERAL COUNSEL
Phone: (952) 836-2234
Practice Location
- Address
- 9000 KEYSTONE XING STE 200
INDIANAPOLIS, IN 462402148 - Phone
- (317) 581-2380
Mailing Address
- Address
- 8777 PURDUE RD STE 360
INDIANAPOLIS, IN 462683121 - Phone
- (317) 208-7739
- Fax
- (617) 790-4271
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 200193830 | IN | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200193830 | 01 | IN | PROVIDER NUMBER |
| 300033125 | 01 | IN | PROVIDER NUMBER |
Frequently Asked Questions
What is INDIANA MENTOR's NPI number?
INDIANA MENTOR's NPI number is 1407980170.
Which doctor has NPI number 1407980170?
The doctor with NPI number 1407980170 is INDIANA MENTOR.
What is INDIANA MENTOR's practice address?
INDIANA MENTOR's practice address is 9000 KEYSTONE XING STE 200, INDIANAPOLIS, IN, 462402148.
Which doctor practices at 9000 KEYSTONE XING STE 200, INDIANAPOLIS, IN, 462402148?
INDIANA MENTOR practices at 9000 KEYSTONE XING STE 200, INDIANAPOLIS, IN, 462402148.
What is INDIANA MENTOR's mailing address?
INDIANA MENTOR's mailing address is 8777 PURDUE RD STE 360, INDIANAPOLIS, IN, 462683121.
What is INDIANA MENTOR's phone number?
INDIANA MENTOR's phone number is (317) 581-2380.
Who is (317) 581-2380?
(317) 581-2380 is the phone number for INDIANA MENTOR.
What is INDIANA MENTOR's specialty?
INDIANA MENTOR's specialty is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility.
What type of doctor is INDIANA MENTOR?
INDIANA MENTOR is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility.
Is INDIANA MENTOR a Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities?
Yes, INDIANA MENTOR is a Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.
Is INDIANA MENTOR still practicing?
Yes, INDIANA MENTOR is currently practicing.
Is INDIANA MENTOR accepting new patients?
INDIANA MENTOR may be accepting new patients. Please call their office at (317) 581-2380 to inquire about availability.
Is NPI 1407980170 still active?
Yes, NPI 1407980170 is currently active.
Where does INDIANA MENTOR practice?
INDIANA MENTOR practices in INDIANAPOLIS, IN.