Second Baptist Church

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

License

200937220A Issued in IN

Legal business name

SECOND BAPTIST CHURCH

Practice address

3705 Kessler Blvd North Dr
Indianapolis, IN 46222-5800

Phone

(317) 925-0335

Fax

(317) 925-3922

NPI assigned

May 29, 2009

Organization subpart

No

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

Authorized official

Name

Mr. David W Greene Sr.

Title

President

Phone

(317) 925-0335

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1243555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243555200000",
    "number": "1659507010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 KESSLER BLVD NORTH DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462225800",
            "telephone_number": "317-925-0335",
            "fax_number": "317-925-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 KESSLER BLVD NORTH DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462225800",
            "telephone_number": "317-925-0335",
            "fax_number": "317-925-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND BAPTIST CHURCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-29",
        "last_updated": "2009-05-29",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-925-0335",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "IN",
            "license": "200937220A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Ambler Sebo, LCSW
• Ella Sebree
• Caroline Sebren
• Annie Sebring
• Hazel Secillano
• Second Chance Home Care, LLC
• Second Star Speech Therapy LLC
• Kristen (Cain) Secrest
• Katie Seda, PNP
• Caleb Alan Sedam, MD

• Foster Care Agency in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Foster Care Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2009; 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.