FREDDIE PEGUES
NPI 1497563084
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Indianapolis, IN

Active since December 27, 2024
10021 SUNDLEY DR, INDIANAPOLIS, IN 46239(317) 448-3906 Get Directions Write a Review

NPPES record last updated: December 27, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Freddie Pegues NPPES

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

FREDDIE PEGUES (NPI 1497563084) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Indianapolis, Indiana and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1497563084
Entity TypeIndividualMale
Primary Taxonomy320900000X
Provider Legal NameFREDDIE PEGUES
Location Address10021 SUNDLEY DRIndianapolis, IN 46239-9057
Mailing Address10021 Sundley DrIndianapolis, IN 46239-9057 · (317) 448-3906
Sole ProprietorYes
Enumeration DateDecember 27, 2024
NPPES CertifiedDecember 27, 2024
NPI 1497563084 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.

10021 SUNDLEY DR, Indianapolis, IN 46239

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 Freddie Pegues's NPI number?

The NPI number for Freddie Pegues is 1497563084. It was assigned to this individual provider in the NPPES registry on December 27, 2024.

Where is Freddie Pegues located?

Freddie Pegues practices at 10021 Sundley Dr, Indianapolis, IN 46239. The listed phone number is (317) 448-3906.

What is Freddie Pegues'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 Freddie Pegues was last updated on December 27, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.