INDIANA MENTOR
NPI 1124349048
Foster Care Agency in Indianapolis, IN

NPI Status: Active since June 15, 2010

Contact Information

8925 N MERIDIAN ST
SUITE 250
INDIANAPOLIS, IN
ZIP 46260
Phone: (317) 581-2380
Fax: (317) 581-2387

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  • Organization
  • Foster Care Agency
  • CLIA Number: 15D1032017
  • CLIA Cert. Type: Intermediate Care Facility for Mentally Retarded
  • CLIA Exp. Date: 10-14-2026

About INDIANA MENTOR

This page provides the complete NPI Profile along with additional information for Indiana Mentor, a provider established in Indianapolis, Indiana operating as a Foster Care Agency. The healthcare provider is registered in the NPI registry with number 1124349048 assigned on June 2010. The practitioner's primary taxonomy code is 253J00000X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Y'nesha Johnson (Director Of Operations)

NPI
1124349048
Provider Name
INDIANA MENTOR
Entity Type
Organization
Location Address
8925 N MERIDIAN ST SUITE 250 INDIANAPOLIS, IN 46260
Location Phone
(317) 581-2380
Location Fax
(317) 581-2387
Mailing Address
8925 N MERIDIAN ST SUITE 250 INDIANAPOLIS, IN 46260
Mailing Phone
(317) 581-2380
Mailing Fax
(317) 581-2387
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-15-2010
Last Update Date
06-15-2010
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Foster Care Agency

Taxonomy Code
253J00000X
Type
Agencies
Taxonomy Description
A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as 24-hour substitute care for children outside their own homes. Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

Y'NESHA JOHNSON

Authorized Official Title
DIRECTOR OF OPERATIONS
Authorized Official Phone
(317) 581-2380

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
15D1032017
Facility Type
Intermediate Care Facility for Mentally Retarded
Certificate Effective Date
October 15, 2024
Certificate Expiration Date
October 14, 2026
Laboratory Director
ELIZABETH NELSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Indiana Mentor to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1124349048, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
3
Doubled → 6
Pos 6
4
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
0
Unchanged
Pos 9
4
Doubled → 8
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 3 → 6 9 → 18 → 9 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 4 + 4 + 6 + 4 + 1 + 8 + 0 + 8 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1124349048.

Other Providers at the Same Location


The following 16 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
8925 N MERIDIAN ST, 150
INDIANAPOLIS, IN 46260
Nurse Practitioner (Women's Health)
8925 N MERIDIAN ST, SUITE 150
INDIANAPOLIS, IN 46260
Foster Care Agency
8925 N MERIDIAN ST, SUITE 250
INDIANAPOLIS, IN 46260
Foster Care Agency
8925 N MERIDIAN ST, STE. 250
INDIANAPOLIS, IN 46260
Community/Behavioral Health
8925 N MERIDIAN ST, SUITE 250
INDIANAPOLIS, IN 46260
Social Worker
8925 N MERIDIAN ST, 250
INDIANAPOLIS, IN 46260
Counselor
8925 N MERIDIAN ST, SUITE 250
INDIANAPOLIS, IN 46260
Nurse Practitioner
8925 N MERIDIAN ST, SUITE100
INDIANAPOLIS, IN 46260
Home Health
8925 N MERIDIAN ST, SUITE 110
INDIANAPOLIS, IN 46260
Home Health
8925 N MERIDIAN ST, SUITE 110
INDIANAPOLIS, IN 46260
Home Health
8925 N MERIDIAN ST, SUITE 110
INDIANAPOLIS, IN 46260
Case Management
8925 N MERIDIAN ST, SUITE 200
INDIANAPOLIS, IN 46260
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
8925 N MERIDIAN ST, SUITE 200
INDIANAPOLIS, IN 46260
Custodial Care Facility (Adult Care Home)
8925 N MERIDIAN ST, SUITE 200
INDIANAPOLIS, IN 46260
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
8925 N MERIDIAN ST, SUITE 200
INDIANAPOLIS, IN 46260
Dermatology
8925 N MERIDIAN ST
INDIANAPOLIS, IN 46260

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124349048, enumerated as an "organization" on June 15, 2010.

The provider is located at 8925 N MERIDIAN ST SUITE 250 INDIANAPOLIS, IN 46260 and the phone number is (317) 581-2380.

Foster Care Agency with taxonomy code 253J00000X.