Success Acq Corp in Indianapolis - Residential Treatment Facility, Emotionally Disturbed Children
Success Acq Corp - NPI 1861587230
Success Acq Corp is a Residential Treatment Facility, Emotionally Disturbed Children in Indianapolis, Indiana. Success Acq Corp practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Success Acq Corp is 1861587230. The last update date is 2020-08-22.
Success Acq Corp's current location address is 3455 West Vermont, Indianapolis, Indiana. You can contact this provider via phone number 3179161402 and fax number 3176305221. The mailing address for Success Acq Corp is 3455 West Vermont, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Success Acq Corp |
|---|---|
| Address | 3455 West Vermont, Indianapolis, Indiana |
| Phone Number | 3179161402 |
| Fax Number | 3176305221 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF FINA |
|---|---|
| Authorized Official Name | Jagoditz Chris |
| Telephone Number | 3175246360 |
NPI Number Detail
| NPI Number | 1861587230 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 3455 West Vermont |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 46222 |
| Phone Number | 3179161402 |
| Fax Number | 3176305221 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
| Licence No | 43661 |
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Definition: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Success Acq Corp?
The Success Acq Corp has been issued the NPI (National Provider Identifier) 1861587230 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Success Acq Corp is physically located?
The Success Acq Corp is situated at the following address: 3455 West Vermont, Indianapolis, IN 46222.
What is the Success Acq Corp's area of specialization and corresponding taxonomy classification?
The Success Acq Corp's specialty field is Residential Treatment Facility, Emotionally Disturbed Children, and it falls under the taxonomy code 322D00000X, which categorizes healthcare providers based on their specialties.
On what date did the Success Acq Corp receive the assignment of its 1861587230 from the Centers for Medicare & Medicaid Services?
The Success Acq Corp was issued its 1861587230 by the Centers for Medicare & Medicaid Services on 2006-10-03.
As of what date were the details pertaining to Success Acq Corp last refreshed?
The information related to the Success Acq Corp, including its address, specialty, and other relevant details, was last updated on 2020-08-22.
NPI Number: 1902809924
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