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CAPITOL CITY RESIDENTIAL HEALTH CARE LLC
NPI 1790994796
Assisted Living Facility - Assisted Living, Mental Illness in Indianapolis, IN

Active since May 22, 2007
1608 E 10TH ST, INDIANAPOLIS, IN 46201(317) 632-1851(866) 480-7748 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Capitol City Residential Health Care Llc NPPES

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

CAPITOL CITY RESIDENTIAL HEALTH CARE LLC (NPI 1790994796) is a healthcare organization registered as an assisted living, mental illness in Indianapolis, Indiana and active in the NPI registry since May 2007. The organization lists Kellee R. Derico, Administrator, as its authorized official.

NPPES Registry Identity

NPI1790994796
Entity TypeOrganization
Primary Taxonomy3104A0625X
Legal Business NameCAPITOL CITY RESIDENTIAL HEALTH CARE LLC
Location Address1608 E 10TH STIndianapolis, IN 46201-1902
Mailing Address1608 E 10th StIndianapolis, IN 46201-1902 · (317) 632-1851 · Fax (866) 480-7748
Phone(317) 632-1851
Fax(866) 480-7748
Organization SubpartNo
Authorized OfficialKellee R. DericoAdministrator · (317) 632-1851
Enumeration DateMay 22, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1790994796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code3104A0625X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
1608 E 10TH ST, Indianapolis, IN 46201
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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 Capitol City Residential Health Care LLC's NPI number?

The NPI number for Capitol City Residential Health Care LLC is 1790994796. It was assigned to this organization in the NPPES registry on May 22, 2007.

Where is Capitol City Residential Health Care LLC located?

Capitol City Residential Health Care LLC is located at 1608 E 10th St, Indianapolis, IN 46201. The listed phone number is (317) 632-1851.

What is Capitol City Residential Health Care LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Capitol City Residential Health Care LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.