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GREENBRIAR VILLAGE LLC NPI 1639569478


NPI Information

NPI: 1639569478
Provider Name: GREENBRIAR VILLAGE, LLC
Classification: Residential Treatment Facility, Physical Disabilities - 320700000X
Entity Type: Organization

CLIA Number: 15D1091304

Address:
8800 SPOON DR
INDIANAPOLIS, IN
ZIP 46219
Phone: (317) 899-6777
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GREENBRIAR VILLAGE, LLC is a residential treatment facility physical disabilities in Indianapolis, IN. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently. GREENBRIAR VILLAGE, LLC NPI is 1639569478. The provider is registered as an organization entity type.

The provider's business location address is:

8800 SPOON DR
INDIANAPOLIS, IN
ZIP 46219-230
Phone: (317) 899-6777

The provider's authorized official is Melissa Goldstein .
The authorized official title is Operations Manager and has the following contact phone number (812) 406-1099.

The CLIA number assigned to this NPI record is 15D1091304 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/2/2015 and was last updated on 2/2/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320700000XResidential Treatment Facility, Physical Disabilities150117991INDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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