National Provider Identifier Database

REBUILDING EVOLVING FAMILIES LLC
Respite Care, Intellectual and/or Developmental Disabilities

A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.


Contact Information

REBUILDING & EVOLVING FAMILIES LLC
9770 JACKSON WAY
AVON, IN46123-9588
Phone: 317-728-4239
Fax:
Website:
Specialty Taxonomy Code
* Respite Care, Intellectual and/or Developmental Disabilities 385HR2060X

* Indicates primary specialty

NPI Profile & details for REBUILDING & EVOLVING FAMILIES LLC

NPI Number 1134801194
Legal business name
LBN
REBUILDING & EVOLVING FAMILIES LLC
Authorized official DETRA REYNOLDS TODD - (OWNER /OPERATOR)
Entity Organization
Organization subpart No
Enumeration date 08/01/2023
Last updated 08/09/2023 - About 3 years 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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