Organization Active NPI

Meridian Recovery LLC

  • Substance Abuse Rehabilitation Facility
  • Indianapolis, IN
National Provider Identifier
1336890888
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
MERIDIAN RECOVERY LLC
Practice address
2102 S Meridian St
Indianapolis, IN 46225-1923
Phone
(317) 784-4402
NPI assigned
Jan 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Authorized official

Name
Elizabeth Murphy
Title
In-House Counsel
Phone
(314) 258-1037

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

2102 S Meridian St
Indianapolis, IN 46225-1923

Mailing address

3960 Southeastern Ave # 5
Indianapolis, IN 46203-1500

Other names 1

  • Hickory Treatment Center at Meridian Doing business as

National Provider Directory

National Provider Directory

Locations

3960 Southeastern Ave
#5
Indianapolis, IN 46203

NPI Registry JSON

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

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663027200000",
    "number": "1336890888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3960 SOUTHEASTERN AVE # 5",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462031500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 S MERIDIAN ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462251923",
            "telephone_number": "317-784-4402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-17",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "IN-HOUSE COUNSEL",
        "authorized_official_telephone_number": "314-258-1037"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hickory Treatment Center at Meridian",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hickory Treatment Center at Meridian",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 13, 2022; 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.