MEDICARE: REDEEMER LIVES SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1154260289
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REDEEMER LIVES SERVICES LLC

Provider Business Mailing Address
First Line	:	2540 GALAXY LN
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46229-1124
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2540 GALAXY LN
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46229-1124
Country	:	US
Telephone Number	:	463-202-2794
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. CHARLES BOAMPONG JR.
Credential	:
Telephone Number	:	614-962-1660

Provider Enumeration Date	:	03/25/2026
Last Update Date	:	03/29/2026

Similar Medicare Providers

1790500890 — KEY TO CARE HOME CARE SERVICES, LLC
Practice Location Address:

2560 GALAXY LN
INDIANAPOLIS, IN
46229-1124

Practice Phone: 317-840-9714
Practice Fax:

1770120883 — DR. BENJAMIN NEUENSCHWANDER PHARMD
Practice Location Address:

9851 E 59TH ST
INDIANAPOLIS, IN
46216-1124

Practice Phone: 317-377-2305
Practice Fax:

1366039703 — MENTAL CHATTER, LLC
Practice Location Address:

9445 INDIANAPOLIS BLVD # 1124
HIGHLAND, IN
46322-2648

Practice Phone: 219-281-6113
Practice Fax:

1750005153 — MR. BANKOLE WAHEED ADEIGBE I
Practice Location Address:

7310 FREEPORT LN APT D
INDIANAPOLIS, IN
46214-1124

Practice Phone: 463-336-3843
Practice Fax:

1659160919 — TWO FRIENDS HOME CARE LLC
Practice Location Address:

1237 HERBERT ST
INDIANAPOLIS, IN
46202-1124

Practice Phone: 317-746-0938
Practice Fax:

1154269025 — DR. HAYA R ALBANNA
Practice Location Address:

10001 E WASHINGTON ST
INDIANAPOLIS, IN
46229-2623

Practice Phone: 317-897-6323
Practice Fax:

Directions to “REDEEMER LIVES SERVICES LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.