NPIMap

Organization Active NPI

Denzel Special Keepers LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Indianapolis, IN
National Provider Identifier
1124894407
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
DENZEL SPECIAL KEEPERS LLC
Practice address
3734 Newcastle CT
Indianapolis, IN 46235-0011
Phone
(317) 722-7377
NPI assigned
Nov 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Authorized official

Name
Dina KellyNPI 1972295145
Title
Owner
Phone
(317) 722-7377

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

3734 Newcastle CT
Indianapolis, IN 46235-0011

Mailing address

3734 Newcastle CT
Indianapolis, IN 46235-0011
Phone (317) 722-7377

Other names 1

  • Denzel Special Keepers LLC Other name

National Provider Directory

National Provider Directory
Tax ID family
Denzel Special Keepers LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1701129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1124894407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3734 NEWCASTLE CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462350011",
            "telephone_number": "317-722-7377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3734 NEWCASTLE CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462350011",
            "telephone_number": "317-722-7377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENZEL SPECIAL KEEPERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-28",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "DINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-722-7377"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Denzel Special Keepers LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Nov 28, 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.