The Arc of Indiana

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

200953390 Issued in IN

Legal business name

THE ARC OF INDIANA

Practice address

107 N Pennsylvania St
Suite 800
Indianapolis, IN 46204-2444

Phone

(317) 977-2375

Fax

(317) 977-2385

NPI assigned

Oct 20, 2009

Last updated

Oct 20, 2009By 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

Mr. John Dickerson

Title

Executive Director

Phone

(317) 977-2375

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255996800000",
    "number": "1225364672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 N PENNSYLVANIA ST",
            "address_2": "SUITE 800",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462042444",
            "telephone_number": "317-977-2375",
            "fax_number": "317-977-2385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 N PENNSYLVANIA ST",
            "address_2": "SUITE 800",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462042444",
            "telephone_number": "317-977-2375",
            "fax_number": "317-977-2385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ARC OF INDIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-20",
        "last_updated": "2009-10-20",
        "status": "A",
        "authorized_official_last_name": "DICKERSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "317-977-2375",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "IN",
            "license": "200953390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200953390A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Developmentally Disabled Services Day Training Agency in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Developmentally Disabled Services Day Training Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; 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.