Cornerstone of Indianapolis, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

CORNERSTONE OF INDIANAPOLIS, LLC

Practice address

5610 Crawfordsville Road
Suite 1700
Indianapolis, IN 46224

Phone

(317) 643-4600

Fax

(317) 643-4610

NPI assigned

Sep 7, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Marco Antonio Rodriguez-Diaz

Title

Owner

Phone

(317) 643-4600

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1215484381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5610 CRAWFORDSVILLE ROAD",
            "address_2": "SUITE 1700",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46224",
            "telephone_number": "317-429-9201",
            "fax_number": "317-672-2264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5610 CRAWFORDSVILLE ROAD",
            "address_2": "SUITE 1700",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46224",
            "telephone_number": "317-643-4600",
            "fax_number": "317-643-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE OF INDIANAPOLIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-07",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ-DIAZ",
        "authorized_official_first_name": "MARCO",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-643-4600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Indianapolis, IN
• Substance Use Disorder Rehabilitation Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.