Indiana Comfort Residential Services LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

INDIANA COMFORT RESIDENTIAL SERVICES LLC

Practice address

7291 Oakview Dr
Avon, IN 46123-9436

Phone

(615) 999-9756

NPI assigned

Nov 20, 2023

Last updated

Nov 20, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Huguette Shikama

Title

Ceo

Phone

(615) 999-9756

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Adrien M Kiyana

  • Behavior Technician
  • Brownsburg, IN
  • NPI 1417836511
  NPD

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700438400000",
    "number": "1194590257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7291 OAKVIEW DR",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461239436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7291 OAKVIEW DR",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461239436",
            "telephone_number": "615-999-9756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA COMFORT RESIDENTIAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-19",
        "status": "A",
        "authorized_official_last_name": "SHIKAMA",
        "authorized_official_first_name": "HUGUETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-999-9756"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey R Ihlendorf, MD
• Illuminate Eye Care LLC
• Impact Residential Care LLC
• Indiana Be Well, Inc. (Ellie Mental Health Avon)
• Indiana Cancer Specialists, LLC
• Indiana CRH Surgeons, P.C.
• Indiana Endoscopy Centers LLC (Indiana Endoscopy Center West)
• Indiana Neighborhood Hospital, LLC
• Indiana Spine Group, PC
• Indiana Surgery, PC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Avon, IN
• Providers in Avon, IN by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.