Team Hope of Indiana LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

TEAM HOPE OF INDIANA LLC

Doing business as

team hope of indiana llc

Practice address

3121 Everbloom Way
Indianapolis, IN 46217-9136

Phone

(260) 804-3637

NPI assigned

Aug 31, 2020

Organization subpart

No

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

Authorized official

Name

Javaris Suggs

Title

Owner

Phone

(260) 804-3637

Specialties & licenses 2

Addresses

Other names 1

• team hope of indiana llc Doing business as

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598832000000",
    "number": "1720691504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 EVERBLOOM WAY",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462179136",
            "telephone_number": "260-804-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 EVERBLOOM WAY",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462179136",
            "telephone_number": "260-804-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAM HOPE OF INDIANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-31",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A",
        "authorized_official_last_name": "SUGGS",
        "authorized_official_first_name": "JAVARIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-804-3637"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "team hope of indiana llc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Behavior Analyst in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Behavior Analyst in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; 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.