INDIANA DETOX LLC
NPI 1255075008
Substance Abuse Rehabilitation Facility in Bloomington, IN

Active since April 26, 2022CLIA 15D2261155 · Waiver
2306 W 3RD ST, BLOOMINGTON, IN 47404(812) 605-5619 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 8, 2025, Mar 17, 2025, Apr 26, 2022 (3 updates tracked since 2022).

About Indiana Detox Llc NPPES

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

INDIANA DETOX LLC (NPI 1255075008) is a healthcare organization registered as a substance abuse rehabilitation facility in Bloomington, Indiana and active in the NPI registry since April 2022. The organization holds a CLIA Waiver certificate valid through May 25, 2028 and lists Christopher Ferry, President, as its authorized official.

NPPES Registry Identity

NPI1255075008
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameINDIANA DETOX LLC
Location Address2306 W 3RD STBloomington, IN 47404-5219
Mailing Address2306 W 3rd StBloomington, IN 47404-5219 · (812) 605-5619
Organization SubpartNo
Authorized OfficialChristopher FerryPresident · (812) 605-5619
Enumeration DateApril 26, 2022
Last NPPES UpdateSeptember 8, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2025
NPI 1255075008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition

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.

2306 W 3RD ST, Bloomington, IN 47404

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2261155

Indiana Detox, LLC Dba Boca Recovery Center · Bloomington, IN
Active · expires May 25, 2028
CLIA Number15D2261155
Laboratory TypeDetox/Substance Abuse Tre
Certificate Effective DateMay 26, 2026
Certificate Expiration DateMay 25, 2028
Laboratory DirectorChris Ferry
Laboratory Phone(561) 859-2744
Laboratory LocationIndiana Detox, LLC Dba Boca Recovery Center2306 W 3rd Street, Bloomington, IN 47404
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Indiana Detox LLC's NPI number?

The NPI number for Indiana Detox LLC is 1255075008. It was assigned to this organization in the NPPES registry on April 26, 2022.

Where is Indiana Detox LLC located?

Indiana Detox LLC is located at 2306 W 3rd St, Bloomington, IN 47404. The listed phone number is (812) 605-5619.

What is Indiana Detox LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Indiana Detox LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2261155) is associated with this NPI, valid through May 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Indiana Detox LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Indiana Detox 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 Indiana Detox LLC was last updated on September 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.