SPARK RECOVERY OF INDIANA
NPI 1295411817
Substance Abuse Rehabilitation Facility in Indianapolis, IN

Active since June 27, 2023CLIA 15D2289008 · Waiver
9302 N MERIDIAN ST STE 101, INDIANAPOLIS, IN 46260(317) 967-2220 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Spark Recovery Of Indiana NPPES

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

SPARK RECOVERY OF INDIANA (NPI 1295411817) is a healthcare organization registered as a substance abuse rehabilitation facility in Indianapolis, Indiana and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through September 4, 2027, maintains a secondary practice location in Indianapolis, and lists Yeruchem Biderman, Ceo, as its authorized official.

NPPES Registry Identity

NPI1295411817
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameSPARK RECOVERY OF INDIANA
Location Address9302 N MERIDIAN ST STE 101Indianapolis, IN 46260-1841
Mailing Address8005 Castleway DrIndianapolis, IN 46250-1946
Organization SubpartNo
Authorized OfficialYeruchem BidermanCeo · (917) 842-3951
Enumeration DateJune 27, 2023
Last NPPES UpdateOctober 27, 2025
NPPES CertifiedOctober 27, 2025
NPI 1295411817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

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.
9302 N MERIDIAN ST STE 101, Indianapolis, IN 46260

Secondary Practice Location 1

Location 18005 Castleway DrIndianapolis, IN 46250-1946 · Phone (317) 967-2220

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 15D2289008

Spark Recovery Of Indiana · Indianapolis, IN
Active · expires Sep 4, 2027
CLIA Number15D2289008
Laboratory TypeOutpatient D&a Facility
Certificate Effective DateSeptember 5, 2025
Certificate Expiration DateSeptember 4, 2027
Laboratory DirectorVicki E. Burdine
Laboratory Phone(917) 842-3951
Laboratory LocationSpark Recovery Of Indiana9302 N Meridian St, Suite 101, Indianapolis, IN 46260
CLIA data matches this NPI record on: Address Name Phone
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 Spark Recovery Of Indiana's NPI number?

The NPI number for Spark Recovery Of Indiana is 1295411817. It was assigned to this organization in the NPPES registry on June 27, 2023.

Where is Spark Recovery Of Indiana located?

Spark Recovery Of Indiana is located at 9302 N Meridian St Ste 101, Indianapolis, IN 46260. The listed phone number is (317) 967-2220.

What is Spark Recovery Of Indiana's specialty?

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

Does Spark Recovery Of Indiana hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2289008) is associated with this NPI, valid through September 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Spark Recovery Of Indiana accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Spark Recovery Of Indiana 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 Spark Recovery Of Indiana was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.