INDIGO SUPPORTIVE SERVICES LLC.
NPI 1477396356
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Las Vegas, NV

Active since June 17, 2024
930 S. 4TH ST, STE 209 #3446, LAS VEGAS, NV 89101(313) 656-8824 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Indigo Supportive Services Llc. NPPES

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

INDIGO SUPPORTIVE SERVICES LLC. (NPI 1477396356) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Las Vegas, Nevada and active in the NPI registry since June 2024. The organization lists Claritta Waller, Owner /operator, as its authorized official.

NPPES Registry Identity

NPI1477396356
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameINDIGO SUPPORTIVE SERVICES LLC.
Location Address930 S. 4TH ST, STE 209 #3446Las Vegas, NV 89101
Mailing Address930 S. 4th St, Ste 209 #3446Las Vegas, NV 89101 · (313) 656-8824
Organization SubpartNo
Authorized OfficialClaritta WallerOwner /operator · (313) 656-8824
Enumeration DateJune 17, 2024
NPPES CertifiedJune 17, 2024
NPI 1477396356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X
Also ListedRespite CareTaxonomy 385H00000X

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 Indigo Supportive Services LLC.'s NPI number?

The NPI number for Indigo Supportive Services LLC. is 1477396356. It was assigned to this organization in the NPPES registry on June 17, 2024.

Where is Indigo Supportive Services LLC. located?

Indigo Supportive Services LLC. is located at 930 S. 4th St, Ste 209 #3446, Las Vegas, NV 89101. The listed phone number is (313) 656-8824.

What is Indigo Supportive 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 Indigo Supportive Services LLC. was last updated on June 17, 2024. 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.