SUCCESS ACQ CORP – NPI #1861587230
Residential Treatment Facility, Emotionally Disturbed Children

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

SUCCESS ACQ CORP is a residential treatment facility located in INDIANAPOLIS, IN. NPPES has assigned the NPI number 1861587230 to SUCCESS ACQ CORP on October 03, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SUCCESS ACQ CORP below.

NPI Profile for
SUCCESS ACQ CORP

NPI Number
1861587230
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SUCCESS ACQ CORP
Primary location
3455 WEST VERMONT
INDIANAPOLIS, IN 46222
Phone: (317) 916-1402 Fax: (317) 630-5221
Mailing address
PO BOX 26456
INDIANAPOLIS, IN 46226
Phone: (317) 524-6360 Fax: (317) 544-4355
Organization Subpart
No
Authorized Official
CHRIS JAGODITZ
CHIEF FINANCIAL OFFICER
Phone: (317) 524-6360
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
322D00000X
- Residential Treatment Facility, Emotionally Disturbed Children (Primary)
IN 43661

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.