Assured Residential and Consulting, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

ASSURED RESIDENTIAL AND CONSULTING, LLC

Practice address

5555 N Tacoma Ave Ste 101
Indianapolis, IN 46220-3551

Phone

(317) 426-5948

Fax

(317) 426-5984

NPI assigned

Oct 23, 2018

Organization subpart

No

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

Authorized official

Name

George Davidson Jr.

Title

Executive Director/Managing Member

Phone

(317) 426-5948

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540252800000",
    "number": "1659847168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 N TACOMA AVE STE 101",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462203551",
            "telephone_number": "317-426-5948",
            "fax_number": "317-426-5984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 N TACOMA AVE STE 101",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462203551",
            "telephone_number": "317-426-5948",
            "fax_number": "317-426-5984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSURED RESIDENTIAL AND CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-23",
        "last_updated": "2018-10-23",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/MANAGING MEMBER",
        "authorized_official_telephone_number": "317-426-5948",
        "authorized_official_name_suffix": "Jr."
    },
    "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": []
}

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• Providers in Indianapolis, IN by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.