Indigo Assisted Living, LLC
Organization Active NPI Assisted Living Facility · Omaha, TX
NPI 1104600071 · NPPES record last updated Aug 22, 2023
Key facts
- NPI
- 1104600071
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- Legal business name
- INDIGO ASSISTED LIVING, LLC
- Practice address
- 205 Giles St
Omaha, TX 75571-4013 - Phone
- (903) 884-7070
- NPI assigned
- Aug 22, 2023
- Organization subpart
- No
Authorized official
- Name
- Satheesh Kumaar Soundararajan
- Title
- Ceo and Administrator
- Phone
- (602) 410-6098
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Yes |
Addresses
Primary practice location
205 Giles St
Omaha, TX 75571-4013
Mailing address
205 Giles St
Omaha, TX 75571-4013
Phone (903) 884-7070
Other names
- Indigo Assisted Living
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.