Original Housing Program

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

ORIGINAL HOUSING PROGRAM

Practice address

3539 N College Ave # 1
Indianapolis, IN 46205-3755

Phone

(317) 258-0302

NPI assigned

Aug 22, 2019

Organization subpart

No

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

Authorized official

Name

Latoya Vinettie Beverly

Title

Non Clinical

Phone

(317) 559-5802

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566432000000",
    "number": "1659928794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3902 N COLLEGE AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462052735",
            "telephone_number": "317-258-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3539 N COLLEGE AVE # 1",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462053755",
            "telephone_number": "317-258-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORIGINAL HOUSING PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-22",
        "last_updated": "2019-08-22",
        "status": "A",
        "authorized_official_last_name": "BEVERLY",
        "authorized_official_first_name": "LATOYA",
        "authorized_official_middle_name": "VINETTIE",
        "authorized_official_title_or_position": "NON CLINICAL",
        "authorized_official_telephone_number": "317-559-5802"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olabanji Orebanjo
• Felix Orelaru, MD
• Orenda Counseling LLC
• Megan Orender, BCBA
• Olayibo Taiwo Oriade
• Molly Anne Oriley, CRNA
• Rhyna T Orillaneda
• Ernest Jonathan Orinion, M.D.
• Orion Counseling LLC
• Rukayat Orire

• Substance Use Disorder Rehabilitation Clinic/Center in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; 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.