Organization Active NPI

Stimuli Residential Services

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Indianapolis, IN
National Provider Identifier
1750851192
Registry record updated Nov 28, 2018
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
STIMULI RESIDENTIAL SERVICES
Practice address
6670 Kinnerton Dr
Indianapolis, IN 46254-5843
Phone
(317) 722-9142
NPI assigned
Nov 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2018

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

Authorized official

Name
Mr. Bruno O Okuja, QIDP
Title
Director
Phone
(317) 722-9141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

6670 Kinnerton Dr
Indianapolis, IN 46254-5843

Mailing address

6670 Kinnerton Dr
Indianapolis, IN 46254-5843
Phone (317) 722-9141

Other identifiers 1

IdentifierTypeStateIssuer
IMedicaidIL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543363200000",
    "number": "1750851192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6670 KINNERTON DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462545843",
            "telephone_number": "317-722-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6670 KINNERTON DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462545843",
            "telephone_number": "317-722-9142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STIMULI RESIDENTIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-28",
        "last_updated": "2018-11-28",
        "status": "A",
        "authorized_official_last_name": "OKUJA",
        "authorized_official_first_name": "BRUNO",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "317-722-9141",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "QIDP"
    },
    "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": "I",
            "state": "IL"
        }
    ],
    "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 Nov 28, 2018; 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.