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INDIE LAINE LEARNING CO LLC
NPI 1073297099
Clinic/Center - Developmental Disabilities in Phoenix, AZ

Active since June 12, 2023
5210 N CENTRAL AVE STE 101, PHOENIX, AZ 85012(623) 295-1109 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 1, 2024, Jun 12, 2023 (2 updates tracked since 2023).

About Indie Laine Learning Co Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INDIE LAINE LEARNING CO LLC (NPI 1073297099) is a healthcare organization registered as a developmental disabilities in Phoenix, Arizona and active in the NPI registry since June 2023. The organization lists Jessica T Costa, Director Of Therapy & Consultation, as its authorized official.

NPPES Registry Identity

NPI1073297099
Entity TypeOrganization
Primary Taxonomy261QD1600X
Legal Business NameINDIE LAINE LEARNING CO LLC
Location Address5210 N CENTRAL AVE STE 101Phoenix, AZ 85012-1489
Mailing Address7025 S 42nd AvePhoenix, AZ 85041-3508 · (860) 371-4586
Phone(623) 295-1109
Organization SubpartNo
Authorized OfficialJessica T CostaDirector Of Therapy & Consultation · (860) 371-4586
Enumeration DateJune 12, 2023
Last NPPES UpdateOctober 1, 20242 updates tracked since enumeration
NPPES CertifiedOctober 1, 2024
✔ NPI 1073297099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities
Taxonomy Code261QD1600X
Definition

An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

Also ListedBehavior AnalystTaxonomy 103K00000X
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedOccupational TherapistTaxonomy 225X00000X
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X
5210 N CENTRAL AVE STE 101, Phoenix, AZ 85012
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KARISSA NESBITT M.S., CCC-SLP
Speech-Language Pathologist
5210 N CENTRAL AVE STE 101
PHOENIX, AZ 85012
Maricopa County (623) 295-1109

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Indie Laine Learning Co LLC's NPI number?

The NPI number for Indie Laine Learning Co LLC is 1073297099. It was assigned to this organization in the NPPES registry on June 12, 2023.

Where is Indie Laine Learning Co LLC located?

Indie Laine Learning Co LLC is located at 5210 N Central Ave Ste 101, Phoenix, AZ 85012. The listed phone number is (623) 295-1109.

What is Indie Laine Learning Co LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

What insurance does Indie Laine Learning Co LLC accept?

Health plans from Ambetter from Arizona Complete Health list Indie Laine Learning Co LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Indie Laine Learning Co LLC was last updated on October 1, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.