INFINITE SHIELD, LLC, (NPI# 1912530361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912530361 |
| Entity Type | Organization |
| Organization Name | INFINITE SHIELD, LLC, |
| Practice Address |
5726 Michigan Rd Indianapolis IN 46228-1729 |
| Practice Telephone | 3175720238 |
| Mailing Telephone | 3175720238 |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2020-02-13 |
| Authorized Official Name | TA'VONYA A BUSH (MANAGER) |
| Authorized Official Telephone | 3175720238 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 101YS0200X |
Counselor Specialization: School |
Behavioral Health & Social Service Providers | ||
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers | ||
| N | 251B00000X | Case Management | Agencies | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
5726 MICHIGAN RD |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46228-1729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275797300 | Glendia Diane Butts | Occupational Therapist | 3644 West 48th Street, Indianapolis, IN 46228 | 2008-07-17 |
| 1073573465 | Michael W. Lane | Specialist | 5035 W. 71st St., Ste E, Indianapolis, IN 46228 | 2006-03-28 |
| 1730186628 | Marimelia Skovronsky | Ophthalmology | 1017 W 52nd St, Indianapolis, IN 46228 | 2005-07-07 |
| 1235200742 | Gental Hands Home Health | Home Health | 5960 Manning Rd, Indianapolis, IN 46228-1081 | 2006-11-13 |
| 1710170220 | Vetra Davis | Home Health | 5960 Manning Rd, Indianapolis, IN 46228-1081 | 2007-08-20 |
| 1811453814 | Terry Anthony Webster Jr. | Day Training/Habilitation Specialist | 3710 Nuthatcher Dr, Indianapolis, IN 46228-1089 | 2019-02-14 |
| 1679039671 | T3 Impact Inc. | Counselor | 3710 Nuthatcher Dr, Indianapolis, IN 46228-1089 | 2019-02-14 |
| 1962974097 | Donovan Pettiford | Private Vehicle | 6128 Morning Dove Dr, Indianapolis, IN 46228-1097 | 2018-12-31 |
| 1134217201 | Springfield Health Care Center, Inc | Skilled Nursing Facility | 6130 Michigan Rd, Indianapolis, IN 46228-1200 | 2006-10-11 |
| 1134767692 | Shannon Alford | Counselor | 6130 Michigan Rd, Indianapolis, IN 46228-1200 | 2019-12-16 |
| Find all providers in zip 46228 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629695739 | Connieflower Behavioral Health | Community/Behavioral Health | 6738 Tramcus Dr, Indianapolis, IN 46260-4586 | 2020-07-06 |
| 1437773322 | Carter Counseling Services LLC | Community/Behavioral Health | 1387 N Shadeland Ave Ste B, Indianapolis, IN 46219-3605 | 2020-06-05 |
| 1619500626 | Family Strength Services | Community/Behavioral Health | 10026 E 21st St Ste 9, Indianapolis, IN 46229-1802 | 2020-02-18 |
| 1174167720 | Benevolent Care LLC. | Community/Behavioral Health | 5645 E Raymond St, Indianapolis, IN 46203-4967 | 2019-11-06 |
| 1568925154 | Siha Center LLC | Community/Behavioral Health | 11659 Sinclair Dr, Indianapolis, IN 46235-6030 | 2019-04-10 |
| 1891250411 | Eight-two Counseling LLC | Community/Behavioral Health | 4360 W 38th St Ste 7a, Indianapolis, IN 46254-3310 | 2019-02-07 |
| 1043775034 | The Transition House of Indiana, Inc. | Community/Behavioral Health | 10531 E 10th St, Indianapolis, IN 46229-2604 | 2019-02-05 |
| 1326519661 | Muslim Re-entry Network of Indiana | Community/Behavioral Health | 5525 Georgetown Rd Ste E, Indianapolis, IN 46254-3717 | 2018-12-16 |
| 1407331671 | Davetta Sanders | Community/Behavioral Health | 1618 Rogers Ct, Indianapolis, IN 46214-2256 | 2018-10-03 |
| 1457836959 | Crystal Sheri Gilbert | Community/Behavioral Health | 2223 Willowview Dr, Indianapolis, IN 46239-7733 | 2018-10-01 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46228 |
Please comment or provide details below to improve the information on INFINITE SHIELD, LLC,.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.