Indy Developmental Residential Service LLC
NPI 1578168712 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Indianapolis, IN
Indy Developmental Residential Service LLC is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility organization in Indianapolis, IN (NPI 1578168712).
Provider details
- NPI number
- 1578168712
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Kelleen Robertson, Owner(317) 970-3880
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-12-04
- Last updated
- 2020-12-04
- Certified
- 2020-12-03
Frequently asked questions
- What is Indy Developmental Residential Service LLC's NPI number?
- Indy Developmental Residential Service LLC's National Provider Identifier (NPI) is 1578168712, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Indy Developmental Residential Service LLC?
- Indy Developmental Residential Service LLC is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Indy Developmental Residential Service LLC located?
- Indy Developmental Residential Service LLC's practice location on file with NPPES is 1121 N Rural St, Indianapolis, IN 46201-1328.
- What is Indy Developmental Residential Service LLC's phone number?
- The practice phone number listed in the NPPES registry for Indy Developmental Residential Service LLC is (317) 970-3880.
- Who is the authorized official for Indy Developmental Residential Service LLC?
- The authorized official listed on Indy Developmental Residential Service LLC's NPPES record is Kelleen Robertson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Indy Developmental Residential Service LLC's NPI active?
- Yes — Indy Developmental Residential Service LLC's NPI (1578168712) is active in the NPPES registry as of the last update on 2020-12-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.