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ICR INDIANAPOLIS OPERATING SUBSIDIARY, LLC
NPI 1558210997
Substance Abuse Rehabilitation Facility in Indianapolis, IN

Active since January 27, 2026CLIA Certified · 2 labs
5510 S EMERSON AVE, INDIANAPOLIS, IN 46237(463) 238-1208 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 28, 2026, Mar 25, 2026, Jan 27, 2026 (3 updates tracked since 2026).

About Icr Indianapolis Operating Subsidiary, Llc NPPES

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

ICR INDIANAPOLIS OPERATING SUBSIDIARY, LLC (NPI 1558210997) is a healthcare organization registered as a substance abuse rehabilitation facility in Indianapolis, Indiana and active in the NPI registry since January 2026. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Bedford, and lists Tara Gurney, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1558210997
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameICR INDIANAPOLIS OPERATING SUBSIDIARY, LLC
Location Address5510 S EMERSON AVEIndianapolis, IN 46237-2517
Mailing Address2925 10th Ave NPalm Springs, FL 33461-3000
Phone(463) 238-1208
Organization SubpartNo
Authorized OfficialTara GurneyAuthorized Official · (561) 517-3400
Enumeration DateJanuary 27, 2026
Last NPPES UpdateMay 28, 20263 updates tracked since enumeration
NPPES CertifiedMay 28, 2026
✔ NPI 1558210997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedPsychiatric HospitalTaxonomy 283Q00000X
5510 S EMERSON AVE, Indianapolis, IN 46237
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Secondary Practice Location 1

Location 11600 23rd StBedford, IN 47421-4704 · Phone (463) 238-1208

CLIA Laboratory Certificates CMS CLIA 2

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 15D2344468

Icr Indianapolis Operating Subsidiary, LLC · Bedford, IN
Active · expires May 21, 2028
CLIA Number15D2344468
Laboratory TypeSubstance Abuse Facility
Certificate Effective DateMay 22, 2026
Certificate Expiration DateMay 21, 2028
Laboratory DirectorMichael Kane
Laboratory Phone(561) 307-1212
Laboratory LocationIcr Indianapolis Operating Subsidiary, LLC1600 23rd Street, Bedford, IN 47421
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 15D2272225

Icr Indianapolis Operating Subsidiary, LLC · Indianapolis, IN
Active · expires Nov 15, 2026
CLIA Number15D2272225
Laboratory TypeSubstance Abuse Facility
Certificate Effective DateNovember 16, 2024
Certificate Expiration DateNovember 15, 2026
Laboratory DirectorMichael Kane
Laboratory Phone(561) 307-1212
Laboratory LocationIcr Indianapolis Operating Subsidiary, LLC5510 S Emerson Ave, Indianapolis, IN 46237
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

MRS. YFAT ARONOV FNP-C AND PMHNP-C
Nurse Practitioner (Psychiatric/Mental Health)
5510 S EMERSON AVE
INDIANAPOLIS, IN 46237
Marion County (844) 650-0064
INDIANA CENTER FOR RECOVERY INDIANAPOLIS
Substance Abuse Rehabilitation Facility
5510 S EMERSON AVE
INDIANAPOLIS, IN 46237
Marion County (561) 635-2400

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 Icr Indianapolis Operating Subsidiary, LLC's NPI number?

The NPI number for Icr Indianapolis Operating Subsidiary, LLC is 1558210997. It was assigned to this organization in the NPPES registry on January 27, 2026.

Where is Icr Indianapolis Operating Subsidiary, LLC located?

Icr Indianapolis Operating Subsidiary, LLC is located at 5510 S Emerson Ave, Indianapolis, IN 46237. The listed phone number is (463) 238-1208.

What is Icr Indianapolis Operating Subsidiary, LLC's specialty?

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

Does Icr Indianapolis Operating Subsidiary, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Icr Indianapolis Operating Subsidiary, LLC was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.