LOVE SUPREME RE-ENTRY HOME RESORT
NPI 1871491720
Behavior Analyst in Indianapolis, IN
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
Specialties & Licenses
Group Practice 1
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.
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.