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INDIANA MENTOR
NPI 1407980170
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Indianapolis, IN

Active since March 15, 2007
9000 KEYSTONE XING STE 200, INDIANAPOLIS, IN 46240(317) 581-2380 Get Directions Write a Review

NPPES record last updated: December 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 23, 2024, Mar 12, 2023, Dec 17, 2019 (3 updates tracked since 2019).

About Indiana Mentor NPPES

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

INDIANA MENTOR (NPI 1407980170) 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 March 2007. The organization lists Mary Patricia Rodenberg-roberts, Vp & Sr. Asst General Counsel, as its authorized official.

NPPES Registry Identity

NPI1407980170
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameINDIANA MENTOR
Location Address9000 KEYSTONE XING STE 200Indianapolis, IN 46240-2148
Mailing Address8777 Purdue Rd Ste 360Indianapolis, IN 46268-3121 · (317) 208-7739 · Fax (617) 790-4271
Phone(317) 581-2380
Organization SubpartNo
Authorized OfficialMary Patricia Rodenberg-robertsVp & Sr. Asst General Counsel · (952) 836-2234
Enumeration DateMarch 15, 2007
Last NPPES UpdateDecember 23, 20243 updates tracked since enumeration
NPPES CertifiedDecember 23, 2024
✔ NPI 1407980170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
License✔ Licensed in IN · 200193830
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
9000 KEYSTONE XING STE 200, Indianapolis, IN 46240
Open in Google Maps ↗

Other Identifiers 2

Other200193830IN · Provider Number
Other300033125IN · Provider Number

Other Providers at the Same Location NPPES

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

REM INDIANA COMMUNITY SERVICES
Clinic/Center (Developmental Disabilities)
9000 KEYSTONE XING STE 200
INDIANAPOLIS, IN 46240
Marion County (317) 208-7713

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 Mentor's NPI number?

The NPI number for Indiana Mentor is 1407980170. It was assigned to this organization in the NPPES registry on March 15, 2007.

Where is Indiana Mentor located?

Indiana Mentor is located at 9000 Keystone Xing Ste 200, Indianapolis, IN 46240. The listed phone number is (317) 581-2380.

What is Indiana Mentor'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 Indiana Mentor was last updated on December 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.