OrganizationActive
Indiana Mothers' Milk Bank, Inc
NPI 1790964914 · Parenteral & Enteral Nutrition Supplies (DME) · Indianapolis, IN
Provider details
- NPI number
- 1790964914
- Entity type
- Organization
- Primary specialty
- Parenteral & Enteral Nutrition Supplies (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Dane Nutty, Program Coordinator(317) 329-7146
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
6820 Parkdale Pl
Suite 109
Indianapolis, IN 46254-6601
Phone: (317) 329-7146
Fax: (317) 329-7151
Street-level locationGet directions
Mailing address
6820 Parkdale Pl
Indianapolis, IN 46254-6601
Registry dates
- Enumerated
- 2007-10-25
- Last updated
- 2008-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.