NPIMap

Organization Active NPI

Indiana Mentor

  • Foster Care Agency
  • Indianapolis, IN
National Provider Identifier
1184906778
Registry record updated Sep 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
Legal business name
INDIANA MENTOR
Practice address
8925 N. Meridian Street
#250
Indianapolis, IN 46260
Phone
(317) 208-7720
Fax
(317) 581-2387
NPI assigned
Sep 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2011

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

Authorized official

Name
Mrs. Ynesha Johnson, DOO
Title
Director of Operations
Phone
(317) 581-2380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X Primary

Addresses

Primary practice location

8925 N. Meridian Street
#250
Indianapolis, IN 46260

Mailing address

8925 N. Meridian
#250
Indianapolis, IN 46260
Phone (317) 208-7720

National Provider Directory

National Provider Directory

Locations

8925 N Meridian St
Ste 250
Indianapolis, IN 46260
Phone (317) 208-7720

NPI Registry JSON

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

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315526400000",
    "number": "1184906778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8925 N. MERIDIAN",
            "address_2": "#250",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46260",
            "telephone_number": "317-208-7720",
            "fax_number": "317-581-2387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8925 N. MERIDIAN STREET",
            "address_2": "#250",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46260",
            "telephone_number": "317-208-7720",
            "fax_number": "317-581-2387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA MENTOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-09",
        "last_updated": "2011-09-09",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "YNESHA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "317-581-2380",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DOO"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 9, 2011; 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.