Organization Active NPI

Rahab Restoration Center Inc.

  • Community/Behavioral Health Agency
  • Indianapolis, IN
National Provider Identifier
1316255813
Registry record updated Sep 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1615-0-ASO Issued in IN
Legal business name
RAHAB RESTORATION CENTER INC.
Practice address
3808 Lesley Ave
Indianapolis, IN 46226-4850
Phone
(317) 238-3076
Fax
(317) 546-3455
NPI assigned
Sep 17, 2010
Last updated
Sep 17, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2010

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

Authorized official

Name
Mr. Phillip Norton, MBA
Title
Chief Information Officer
Phone
(317) 238-3076

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1615-0-ASO IN Primary

Addresses

Primary practice location

3808 Lesley Ave
Indianapolis, IN 46226-4850

Mailing address

3808 Lesley Avenue
Indianapolis, IN 46226-4850
Phone (317) 238-3076

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284681600000",
    "number": "1316255813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3808 LESLEY AVENUE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462264850",
            "telephone_number": "317-238-3076",
            "fax_number": "317-546-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3808 LESLEY AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462264850",
            "telephone_number": "317-238-3076",
            "fax_number": "317-546-3455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAHAB RESTORATION CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-17",
        "last_updated": "2010-09-17",
        "status": "A",
        "authorized_official_last_name": "NORTON",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "CHIEF INFORMATION OFFICER",
        "authorized_official_telephone_number": "317-238-3076",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IN",
            "license": "1615-0-ASO",
            "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 17, 2010; 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.