Organization Active NPI

Family Service of Central Indiana, Inc.

  • Voluntary or Charitable Agency
  • Lebanon, IN
National Provider Identifier
1104975325
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
FAMILY SERVICE OF CENTRAL INDIANA, INC.
Practice address
327 N Lebanon St
Suite 103
Lebanon, IN 46052-2168
Phone
(765) 482-6396
Fax
(765) 482-0694
NPI assigned
Jan 9, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Edie Olson
Title
President
Phone
(317) 634-6341

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X NU Primary

Addresses

Primary practice location

327 N Lebanon St
Suite 103
Lebanon, IN 46052-2168

Mailing address

615 North Alabama Street
Suite 320
Indianapolis, IN 46204-1481
Phone (317) 634-6341

Other identifiers 1

IdentifierTypeStateIssuer
100264520MedicaidIN

National Provider Directory

National Provider Directory
Tax ID family
Family Service of Central Indiana Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

327 N Lebanon St
Ste 103
Lebanon, IN 46052
Phone (765) 482-6396

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104975325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 NORTH ALABAMA STREET",
            "address_2": "SUITE 320",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462041481",
            "telephone_number": "317-634-6341",
            "fax_number": "317-464-9575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 N LEBANON ST",
            "address_2": "SUITE 103",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460522168",
            "telephone_number": "765-482-6396",
            "fax_number": "765-482-0694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SERVICE OF CENTRAL INDIANA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "EDIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-634-6341",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100264520",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.