MEDICARE: NXKC INDIANAPOLIS NORTHWEST 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	261QE0700X	End-Stage Renal Disease (ESRD) Treatment Clinic/Center

General Provider Information

NPI Number	:	1740649466
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NXKC INDIANAPOLIS NORTHWEST LLC

Provider Business Mailing Address
First Line	:	350 MERRIMACK ST
Second Line	:
City	:	LAWRENCE
State	:	MA
Zip	:	01843-1748
Country	:	US
Telephone Number	:	978-530-4006
Fax Number	:	978-450-5289

Provider Business Practice Location Address
First Line	:	9101 WESLEYAN RD
Second Line	:	SUITE 115
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46268-3166
Country	:	US
Telephone Number	:	317-829-9770
Fax Number	:	317-876-2530

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MICHAEL A. O'CONNELL
Credential	:
Telephone Number	:	937-239-1492

Provider Enumeration Date	:	02/23/2016
Last Update Date	:	02/23/2016

Similar Medicare Providers

1619925781 — AMEDISYS SP-IN, LLC
Practice Location Address:

9101 WESLEYAN RD , SUITE 300
INDIANAPOLIS, IN
46268-3166

Practice Phone: 317-876-8201
Practice Fax: 317-876-8200

1760593784 — AMEDISYS HOSPICE, L.L.C.
Practice Location Address:

9101 WESLEYAN RD , SUITE 305
INDIANAPOLIS, IN
46268-3166

Practice Phone: 317-870-9901
Practice Fax: 317-870-9921

1992506588 — GERIATRIC PRIMARY CARE OF INDIANA LLC
Practice Location Address:

5354 W 62ND ST APT 176C
INDIANAPOLIS, IN
46268-6436

Practice Phone: 850-377-0925
Practice Fax:

1821805920 — SWIFT AID HOMECARE LLC
Practice Location Address:

7446 AMITY DR
INDIANAPOLIS, IN
46268-2973

Practice Phone: 463-304-2403
Practice Fax:

1285458059 — EMMANUEL CHINONSO CHIGBU
Practice Location Address:

7446 AMITY DR
INDIANAPOLIS, IN
46268-2973

Practice Phone: 463-304-2403
Practice Fax:

1316607880 — ELLEN WEBB MS, BCBA
Practice Location Address:

3435 W 96TH ST
INDIANAPOLIS, IN
46268-1102

Practice Phone: 317-660-6462
Practice Fax:

Directions to “NXKC INDIANAPOLIS NORTHWEST 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 © 2007-2025 (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.