Healthcare Provider Details

I. General information

NPI: 1700570587
Provider Name (Legal Business Name): FAMILY SUPPORT SERVICES OF INDIANA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2023
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 N MERIDIAN ST FL 3
INDIANAPOLIS IN
46204-1719
US

IV. Provider business mailing address

320 N MERIDIAN ST FL 3
INDIANAPOLIS IN
46204-1719
US

V. Phone/Fax

Practice location:
  • Phone: 833-888-2166
  • Fax: 866-997-9581
Mailing address:
  • Phone: 833-877-2206
  • Fax: 866-997-9581

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH NGARUIYA
Title or Position: CEO
Credential:
Phone: 413-209-8866