Organization Active NPI

Synergy Residential Services LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Plainfield, IN
National Provider Identifier
1609758143
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
SYNERGY RESIDENTIAL SERVICES LLC
Practice address
1012 Valley View Dr Apt 4
Plainfield, IN 46168-2290
Phone
(682) 408-0455
NPI assigned
Jul 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Authorized official

Name
Amani S Sebaziga
Title
Ceo
Phone
(682) 408-0455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

1012 Valley View Dr Apt 4
Plainfield, IN 46168-2290

Mailing address

1012 Valley View Dr Apt 4
Plainfield, IN 46168-2290

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1753315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753315200000",
    "number": "1609758143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 VALLEY VIEW DR APT 4",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461682290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 VALLEY VIEW DR APT 4",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461682290",
            "telephone_number": "682-408-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY RESIDENTIAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-24",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A",
        "authorized_official_last_name": "SEBAZIGA",
        "authorized_official_first_name": "AMANI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "682-408-0455"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; 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.