Organization Active NPI

Muslim Re-Entry Network of Indiana

  • Community/Behavioral Health Agency
  • Indianapolis, IN
National Provider Identifier
1326519661
Registry record updated Dec 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MUSLIM RE-ENTRY NETWORK OF INDIANA
Practice address
5525 Georgetown Rd Ste E
Indianapolis, IN 46254-3717
Phone
(317) 313-8923
NPI assigned
Dec 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2018

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

Authorized official

Name
Mr. Khabir A Shareef
Title
Ex. Director
Phone
(317) 313-8923

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

5525 Georgetown Rd Ste E
Indianapolis, IN 46254-3717

Mailing address

4961 Seville Dr
Indianapolis, IN 46228-2176
Phone (317) 313-8923

National Provider Directory

National Provider Directory

Locations

5525 Georgetown Rd
Ste E
Indianapolis, IN 46254
Phone (317) 313-8923

NPI Registry JSON

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544918400000",
    "number": "1326519661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4961 SEVILLE DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462282176",
            "telephone_number": "317-313-8923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 GEORGETOWN RD STE E",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462543717",
            "telephone_number": "317-313-8923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSLIM RE-ENTRY NETWORK OF INDIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A",
        "authorized_official_last_name": "SHAREEF",
        "authorized_official_first_name": "KHABIR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EX. DIRECTOR",
        "authorized_official_telephone_number": "317-313-8923",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "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 Dec 16, 2018; 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.