8530 Township Line Road Opco LLC
Organization Active NPI Substance Abuse Rehabilitation Facility · Indianapolis, IN
NPI 1629675012 · NPPES record last updated Mar 23, 2025
Key facts
- NPI
- 1629675012
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Abuse Rehabilitation Facility 324500000X
- Legal business name
- 8530 TOWNSHIP LINE ROAD OPCO LLC
- Practice address
- 8530 Township Line Rd
Indianapolis, IN 46260-1927 - Phone
- (463) 999-9045
- NPI assigned
- Oct 8, 2020
- Organization subpart
- No
Authorized official
- Name
- Sergio Cruz
- Title
- Cfo
- Phone
- (610) 427-9434
Practitioners 1
-
William E Cooke Jr., M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D2208854 | Recovery Centers of America at Indianapolis | Certificate of waiver | Jan 7, 2027 |
National Provider Directory
Locations
2701 Renaissance Blvd
Fl 4
King of Prussia, PA 19406
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | |||
| Psychiatric Residential Treatment Facility | 323P00000X | |||
| Substance Abuse Rehabilitation Facility | 324500000X | Yes |
Addresses
Primary practice location
8530 Township Line Rd
Indianapolis, IN 46260-1927
Mailing address
2701 Renaissance Blvd FL 4
King of Prussia, PA 19406-2781
Phone (610) 994-2968
Other names
- Recovery Centers of America at Indianapolis
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.