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OVERDOSE LIFELINE INC. NPI 1215424692


NPI Information

NPI: 1215424692
Provider Name: OVERDOSE LIFELINE, INC.

Former Legal Business Name: OVERDOSE LIFELINE, INC.

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
1100 W 42ND ST STE 345
INDIANAPOLIS, IN
ZIP 46208
Phone: (844) 554-3354
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OVERDOSE LIFELINE, INC. is a substance abuse rehabilitation facility in Indianapolis, IN. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. OVERDOSE LIFELINE, INC. NPI is 1215424692. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Overdose Lifeline, Inc..

The provider's business location address is:

1100 W 42ND ST STE 345
INDIANAPOLIS, IN
ZIP 46208-345
Phone: (844) 554-3354

The provider's authorized official is Justin Kay Phillips .
The authorized official title is Executive Director and has the following contact phone number (317) 828-6883.

The enumeration date for this NPI number is 4/20/2018 and was last updated on 6/11/2019.


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
1177F00000XLodgingNo
2251B00000XCase ManagementNo
3251S00000XCommunity/Behavioral HealthNo
4251V00000XVoluntary or CharitableNo
5252Y00000XEarly Intervention Provider AgencyNo
6261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
7261QM0850XClinic/CenterAdult Mental HealthNo
8261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
9261QM2800XClinic/CenterMethadoneNo
10261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
11261QR0800XClinic/CenterRecovery CareNo
123245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, ChildrenNo
13324500000XSubstance Abuse Rehabilitation 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: 4/28/2024

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.