Organization Active NPI

Burgeoning Residential Care LLC

  • Developmentally Disabled Services Day Training Agency
  • Indianapolis, IN
National Provider Identifier
1083386163
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
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

Updated by the provider on Jun 16, 2023

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.