Organization Active NPI

Saint Damian Services LLC

  • Methadone Clinic
  • Indianapolis, IN
National Provider Identifier
1972377703
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
SAINT DAMIAN SERVICES LLC
Practice address
3902 Madison Ave
Indianapolis, IN 46227-1312
Phone
(317) 383-1183
NPI assigned
Nov 13, 2023
Last updated
Nov 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Authorized official

Name
Mr. Terrance Kinnard
Title
Managing Member
Phone
(131) 738-3118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X Primary

Addresses

Primary practice location

3902 Madison Ave
Indianapolis, IN 46227-1312

Mailing address

320 N Meridian St Ste 1006
Indianapolis, IN 46204-1764
Phone (317) 383-1183

National Provider Directory

National Provider Directory

Locations

3902 Madison Ave
Indianapolis, IN 46227
Phone (317) 383-1183

NPI Registry JSON

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1972377703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 N MERIDIAN ST STE 1006",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462041764",
            "telephone_number": "317-383-1183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3902 MADISON AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462271312",
            "telephone_number": "317-383-1183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT DAMIAN SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-13",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A",
        "authorized_official_last_name": "KINNARD",
        "authorized_official_first_name": "TERRANCE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "131-738-3118",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Nov 13, 2023; 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.