Active NPI
Limelight Recovery LLC
- Clinical Social Worker
- Indianapolis, IN
National Provider Identifier
1245904754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- LIMELIGHT RECOVERY LLC
- Practice address
- 8619 Lake Clearwater Lane
Indianapolis, IN 46240 - Phone
- (424) 234-2924
- NPI assigned
- Aug 7, 2021
- Organization subpart
- No
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, IL
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210913000366 | IN | Part B Supplier - Clinic/Group Practice | 8921404294 |
Receives reassigned benefits from 5 practitioners Practice locations: Indianapolis, IN |
| O20250204002852 | IL | Part B Supplier - Clinic/Group Practice | 8921404294 |
Receives reassigned benefits from 2 practitioners Practice locations: Chicago, IL |
National Provider Directory
National Provider DirectoryLocations
585 Grove St
Ste 145
Herndon, VA 20170
Phone (248) 910-8201
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lawrence Owusu Fianko
- Title
- Ceo
- Phone
- (424) 234-2924
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
8619 Lake Clearwater Lane
Indianapolis, IN 46240
Mailing address
5325 E 82ND St
Indianapolis, IN 46250-4510
Phone (812) 994-0902
NPI Registry JSON
{
"created_epoch": "1628294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737072000000",
"number": "1245904754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5325 E 82ND ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462504510",
"telephone_number": "812-994-0902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8619 LAKE CLEARWATER LANE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "46240",
"telephone_number": "424-234-2924"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIMELIGHT RECOVERY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-07",
"last_updated": "2025-01-17",
"certification_date": "2025-01-17",
"status": "A",
"authorized_official_last_name": "FIANKO",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_middle_name": "OWUSU",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "424-234-2924"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"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 Jan 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.