MEDICARE: ACHIEVE COMMUNITY SERVICES, INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	385HR2055X	Child Mental Illness Respite Care
2	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care
3	385HR2065X	Child Physical Disabilities Respite Care
4	320600000X	Intellectual and/or Developmental Disabilities Residential Treatment Facility
5	320700000X	Physical Disabilities Residential Treatment Facility
6	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
7	385H00000X	Respite Care

General Provider Information

NPI Number	:	1235919143
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACHIEVE COMMUNITY SERVICES, INC

Provider Business Mailing Address
First Line	:	8202 CLEARVISTA PKWY STE 6A
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46256-1442
Country	:	US
Telephone Number	:	131-740-9361
Fax Number	:

Provider Business Practice Location Address
First Line	:	8202 CLEARVISTA PKWY STE 6A
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46256-1442
Country	:	US
Telephone Number	:	131-740-9361
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER, CFO
Name	:	MRS. AMBER MARCELLA KRIEG
Credential	:
Telephone Number	:	317-409-3616

Provider Enumeration Date	:	09/29/2023
Last Update Date	:	09/29/2023

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Directions to “ACHIEVE COMMUNITY SERVICES, INC ” Practice Location

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