Organization Active NPI

Nulife Parkdale LLC

  • Substance Abuse Rehabilitation Facility
  • Indianapolis, IN
National Provider Identifier
1740080258
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
NULIFE PARKDALE LLC
Practice address
6620 Parkdale PL Ste N
Indianapolis, IN 46254-4697
Phone
(845) 372-6480
NPI assigned
Mar 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Authorized official

Name
Alexander Zeiger
Title
Owner
Phone
(845) 372-6480

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

6620 Parkdale PL Ste N
Indianapolis, IN 46254-4697

Mailing address

1451 New Jersey 88
Suite 5
Brick, NJ 08724
Phone (845) 372-6480

Other names 2

  • ITTC Doing business as
  • nulife behavioral health Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1741910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741910400000",
    "number": "1740080258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 NEW JERSEY 88",
            "address_2": "SUITE 5",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "08724",
            "telephone_number": "845-372-6480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6620 PARKDALE PL STE N",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462544697",
            "telephone_number": "845-372-6480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NULIFE PARKDALE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-14",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "ZEIGER",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-372-6480"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ITTC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "nulife behavioral health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; 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.