Active NPI
Bidets Care LLC
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Indianapolis, IN
National Provider Identifier
1750091013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- BIDETS CARE LLC
- Practice address
- 4215 W 86TH St Ste F
Indianapolis, IN 46268-1742 - Phone
- (463) 206-2806
- Fax
- (463) 206-2825
- NPI assigned
- Nov 28, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Olubunmi Susan Raji
- Title
- Vice President/Program Director
- Phone
- (317) 985-6044
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
4215 W 86TH St Ste F
Indianapolis, IN 46268-1742
Mailing address
4215 W 86TH St Ste F
Indianapolis, IN 46268-1742
Phone (463) 206-2806
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300053782 | Medicaid | IN | |
| 300066489 | Medicaid | IN |
National Provider Directory
National Provider Directory- Tax ID family
- Bidets Care LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Non-emergency Medical Transport (VAN)
- Indianapolis, IN
- NPI 1760045801
Locations
4215 W 86th St
Ste F
Indianapolis, IN 46268
Phone (463) 206-2806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669593600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1670112000000",
"number": "1750091013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4215 W 86TH ST STE F",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462681742",
"telephone_number": "463-206-2806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4215 W 86TH ST STE F",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462681742",
"telephone_number": "463-206-2806",
"fax_number": "463-206-2825"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIDETS CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-28",
"last_updated": "2022-12-04",
"certification_date": "2022-12-04",
"status": "A",
"authorized_official_last_name": "RAJI",
"authorized_official_first_name": "OLUBUNMI",
"authorized_official_middle_name": "SUSAN",
"authorized_official_title_or_position": "VICE PRESIDENT/PROGRAM DIRECTOR",
"authorized_official_telephone_number": "317-985-6044"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300053782",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300066489",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
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 Dec 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.