Active NPI
Burgeoning Residential Care LLC
- Developmentally Disabled Services Day Training Agency
- Indianapolis, IN
National Provider Identifier
1083386163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- BURGEONING RESIDENTIAL CARE LLC
- Doing business as
- Burgeoning Health Providers LLC
- Practice address
- 2345 N Alabama St
Indianapolis, IN 46205-4320 - Phone
- (317) 506-0024
- Fax
- (317) 350-0043
- NPI assigned
- Sep 28, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Malinda Butler, NP
- Title
- Owner
- Phone
- (317) 506-0024
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary |
Addresses
Primary practice location
2345 N Alabama St
Indianapolis, IN 46205-4320
Mailing address
2345 N Alabama St
Indianapolis, IN 46205-4320
Phone (317) 506-0024
Other names 1
- Burgeoning Health Providers LLC
National Provider Directory
National Provider DirectoryLocations
646 Massachusetts Ave
Indianapolis, IN 46204
Phone (317) 659-5095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686873600000",
"number": "1083386163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2345 N ALABAMA ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462054320",
"telephone_number": "317-506-0024",
"fax_number": "317-350-0043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2345 N ALABAMA ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462054320",
"telephone_number": "317-506-0024",
"fax_number": "317-350-0043"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BURGEONING RESIDENTIAL CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-28",
"last_updated": "2023-06-16",
"certification_date": "2023-06-16",
"status": "A",
"authorized_official_last_name": "BUTLER",
"authorized_official_first_name": "MALINDA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "317-506-0024",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Burgeoning Health Providers LLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Burgeoning Health Providers LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jun 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.