MEDICARE: INDY S.A.F.E. HOMES

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1518809011
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INDY S.A.F.E. HOMES

Provider Business Mailing Address
First Line	:	3724 N EUCLID AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46218-1518
Country	:	US
Telephone Number	:	317-993-2233
Fax Number	:

Provider Business Practice Location Address
First Line	:	2306 E 36TH ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46218-1104
Country	:	US
Telephone Number	:	317-993-2233
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	VICTOR J KEEYLEN
Credential	:	KEEYLEN
Telephone Number	:	317-993-2233

Provider Enumeration Date	:	04/06/2026
Last Update Date	:	04/06/2026

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