Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

LOVE SUPREME RE-ENTRY HOME RESORT
NPI 1871491720
Behavior Analyst in Indianapolis, IN

Active since October 29, 2026
6053 E 39TH ST, INDIANAPOLIS, IN 46226(317) 557-4550 Get Directions Write a Review

NPPES record added: October 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Love Supreme Re-entry Home Resort NPPES

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

LOVE SUPREME RE-ENTRY HOME RESORT (NPI 1871491720) is a healthcare organization registered as a behavior analyst in Indianapolis, Indiana and active in the NPI registry since October 2026. The organization lists Atalaya Wise, Owner, as its authorized official.

NPPES Registry Identity

NPI1871491720
Entity TypeOrganization
Primary Taxonomy103K00000X
Legal Business NameLOVE SUPREME RE-ENTRY HOME RESORT
Location Address6053 E 39TH STIndianapolis, IN 46226-4901
Mailing Address6053 E 39th StIndianapolis, IN 46226-4901
Organization SubpartNo
Authorized OfficialAtalaya WiseOwner · (317) 557-4550
Enumeration DateOctober 29, 2026
NPPES CertifiedOctober 29, 2026
✔ NPI 1871491720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
6053 E 39TH ST, Indianapolis, IN 46226

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

Licensed Practical Nurse
6053 E 39TH ST
INDIANAPOLIS, IN 46226
Counselor (Mental Health)
6053 E 39TH ST
INDIANAPOLIS, IN 46226

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 Love Supreme Re-Entry Home Resort's NPI number?

The NPI number for Love Supreme Re-Entry Home Resort is 1871491720. It was assigned to this organization in the NPPES registry on October 29, 2026.

Where is Love Supreme Re-Entry Home Resort located?

Love Supreme Re-Entry Home Resort is located at 6053 E 39th St, Indianapolis, IN 46226. The listed phone number is (317) 557-4550.

What is Love Supreme Re-Entry Home Resort's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Love Supreme Re-Entry Home Resort was last updated on October 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.