INDIGO ASSISTED LIVING LLC NPI 1104600071

NPI Information

  • NPI: 1104600071
  • Provider Name: INDIGO ASSISTED LIVING, LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 205 GILES ST
    OMAHA, TX
    ZIP 75571
  • Phone: (903) 884-7070

Map and Directions

Get Directions

NPI Details

INDIGO ASSISTED LIVING, LLC is an assisted living facility in Omaha, TX. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. INDIGO ASSISTED LIVING, LLC NPI is 1104600071. The provider is registered as an organization entity type.

The provider's business location address is:

205 GILES ST
OMAHA, TX
ZIP 75571-013
Phone: (903) 884-7070

The provider's authorized official is Satheesh Kumaar Soundararajan .
The authorized official title is Ceo And Administrator and has the following contact phone number (602) 410-6098.

The enumeration date for this NPI number is 8/22/2023 and was last updated on 8/22/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI