Organization Active NPI

Access LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Indianapolis, IN
National Provider Identifier
1821267576
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
ACCESS LLC
Practice address
7437 Sharzad PL
Indianapolis, IN 46227-5432
Phone
(317) 728-1372
NPI assigned
Feb 27, 2008
Last updated
Jul 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Authorized official

Name
Mr. David A Tillison
Title
Director
Phone
(317) 728-1372

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X NU Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X NU

Addresses

Primary practice location

7437 Sharzad PL
Indianapolis, IN 46227-5432

Mailing address

7437 Sharzad PL
Indianapolis, IN 46227-5432
Phone (317) 728-1372

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1821267576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7437 SHARZAD PL",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462275432",
            "telephone_number": "317-728-1372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7437 SHARZAD PL",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462275432",
            "telephone_number": "317-728-1372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "TILLISON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "317-728-1372",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Jul 24, 2008; 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.