PRESTIGE RESIDENTIAL SERVICES LLC
NPI 1124894233
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Indianapolis, IN

Active since November 29, 2023
10493 SERVICEBERRY DR, INDIANAPOLIS, IN 46234(701) 339-8204 Get Directions Write a Review

NPPES record last updated: November 29, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Prestige Residential Services Llc NPPES

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

PRESTIGE RESIDENTIAL SERVICES LLC (NPI 1124894233) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Indianapolis, Indiana and active in the NPI registry since November 2023. The organization lists Gaethan Ndayongeje, President, as its authorized official.

NPPES Registry Identity

NPI1124894233
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NamePRESTIGE RESIDENTIAL SERVICES LLC
Location Address10493 SERVICEBERRY DRIndianapolis, IN 46234-0169
Mailing Address10493 Serviceberry DrIndianapolis, IN 46234-0169
Organization SubpartNo
Authorized OfficialGaethan NdayongejePresident · (701) 339-8204
Enumeration DateNovember 29, 2023
NPPES CertifiedNovember 29, 2023
NPI 1124894233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
10493 SERVICEBERRY DR, Indianapolis, IN 46234

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 Prestige Residential Services LLC's NPI number?

The NPI number for Prestige Residential Services LLC is 1124894233. It was assigned to this organization in the NPPES registry on November 29, 2023.

Where is Prestige Residential Services LLC located?

Prestige Residential Services LLC is located at 10493 Serviceberry Dr, Indianapolis, IN 46234. The listed phone number is (701) 339-8204.

What is Prestige Residential Services LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Prestige Residential Services LLC was last updated on November 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.