Active NPI
Stimuli Residential Services
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Indianapolis, IN
National Provider Identifier
1750851192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| I | Medicaid | IL |
National Provider Directory
National Provider DirectoryNPI 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.