Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Indigo Supportive Services LLC

Organization Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1477396356

Indigo Supportive Services LLC is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Las Vegas, Nevada. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

930 S 4th St Ste 209 #3446
Las Vegas, NV 89101
Phone: (313) 656-8824
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X
Non-emergency Medical Transport (VAN) Taxonomy 343900000X
Respite Care Taxonomy 385H00000X

Record details

NPI number1477396356
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Claritta Waller — Owner /Operator · (313) 656-8824
NPI enumeratedJune 17, 2024
Last updated in NPPESJune 17, 2024
Certification dateJune 17, 2024
Mailing address930 S. 4th St, Ste 209 #3446, Las Vegas, NV 89101

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