National Provider Identifier Database

SPARK RECOVERY OF INDIANA
Substance Abuse Disorder Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.


Contact Information

SPARK RECOVERY OF INDIANA
9302 N MERIDIAN ST STE 101
INDIANAPOLIS, IN46260-1841
Phone: 317-967-2220
Fax:
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X
Rehabilitation, Substance Use Disorder 261QR0405X
Substance Abuse Treatment, Children 3245S0500X

* Indicates primary specialty

NPI Profile & details for SPARK RECOVERY OF INDIANA

NPI Number 1295411817
Legal business name
LBN
SPARK RECOVERY OF INDIANA
Authorized official YERUCHEM BIDERMAN - (CEO)
Entity Organization
Organization subpart No
Enumeration date 06/27/2023
Last updated 10/27/2025 - About 7 months ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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