Organization Active NPI

Branches of Life Treatment Foster Care Incorporated

  • Community/Behavioral Health Agency
  • Indianapolis, IN
National Provider Identifier
1063724573
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BRANCHES OF LIFE TREATMENT FOSTER CARE INCORPORATED
Practice address
4954 E 56TH St
Suite 11
Indianapolis, IN 46220-5773
Phone
(317) 513-8069
Fax
(317) 926-0603
NPI assigned
Jul 13, 2010
Last updated
Jul 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shawna Webster
Title
Director
Phone
(317) 513-8069

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

4954 E 56TH St
Suite 11
Indianapolis, IN 46220-5773

Mailing address

4954 E 56TH St
Suite 11
Indianapolis, IN 46220-5773
Phone (317) 513-8069

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278979200000",
    "number": "1063724573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4954 E 56TH ST",
            "address_2": "SUITE 11",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462205773",
            "telephone_number": "317-513-8069",
            "fax_number": "317-926-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4954 E 56TH ST",
            "address_2": "SUITE 11",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462205773",
            "telephone_number": "317-513-8069",
            "fax_number": "317-926-0603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANCHES OF LIFE TREATMENT FOSTER CARE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-13",
        "last_updated": "2010-07-13",
        "status": "A",
        "authorized_official_last_name": "WEBSTER",
        "authorized_official_first_name": "SHAWNA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "317-513-8069"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.