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

Indy Developmental Residential Service LLC

Organization Developmentally Disabled Services Day Training Agency · NPI 1578168712

Indy Developmental Residential Service LLC is a Developmentally Disabled Services Day Training Agency in Indianapolis, Indiana. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
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

1121 N Rural St
Indianapolis, IN 46201-1328
Phone: (317) 970-3880
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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
Developmentally Disabled Services Day Training Agency Taxonomy 251C00000X

Record details

NPI number1578168712
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelleen Robertson — Owner · (317) 970-3880
NPI enumeratedDecember 4, 2020
Last updated in NPPESDecember 4, 2020
Certification dateDecember 3, 2020
Mailing address1121 N Rural St, Indianapolis, IN 46201-1328

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