Organization Active NPI

Bidets Care LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Indianapolis, IN
National Provider Identifier
1750091013
Registry record updated Dec 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
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

Updated by the provider on Dec 4, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
300053782MedicaidIN
300066489MedicaidIN

National Provider Directory

National Provider Directory
Tax ID family
Bidets Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.