OrganizationActive
Assured Residential and Consulting, LLC
NPI 1659847168 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Indianapolis, IN
Provider details
- NPI number
- 1659847168
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- George Davidson, Executive Director/Managing Member(317) 426-5948
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
5555 N Tacoma Ave Ste 101
Indianapolis, IN 46220-3551
Phone: (317) 426-5948
Fax: (317) 426-5984
Approximate (ZIP-level) locationGet directions
Mailing address
5555 N Tacoma Ave Ste 101
Indianapolis, IN 46220-3551
Registry dates
- Enumerated
- 2018-10-23
- Last updated
- 2018-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.