Provider Type Icon

EVOLVE INDY LLC NPI 1699302356


NPI Information

NPI: 1699302356
Provider Name: EVOLVE INDY LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 15D2191462

Address:
8770 GUION RD STE B
INDIANAPOLIS, IN
ZIP 46268
Phone: (317) 648-2887
Get Directions

EVOLVE INDY LLC 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. EVOLVE INDY LLC NPI is 1699302356. The provider is registered as an organization entity type.

The provider's business location address is:

8770 GUION RD STE B
INDIANAPOLIS, IN
ZIP 46268-017
Phone: (317) 648-2887
Fax: (317) 296-7513

The provider's authorized official is James Sweasy .
The authorized official title is Owner and has the following contact phone number (317) 648-2887.

The CLIA number assigned to this NPI record is 15D2191462 - other - substance use facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/24/2020 and was last updated on 3/24/2020.


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
1324500000XSubstance 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.