Provider Demographics
NPI:1467003095
Name:CONNECTED RESIDENTIAL CONSULTING LLC
Entity Type:Organization
Organization Name:CONNECTED RESIDENTIAL CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:TURAE
Authorized Official - Middle Name:
Authorized Official - Last Name:DABNEY-MUMFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-523-1718
Mailing Address - Street 1:1075 BROAD RIPPLE AVE STE 311
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46220-2034
Mailing Address - Country:US
Mailing Address - Phone:317-523-1718
Mailing Address - Fax:
Practice Address - Street 1:429 EAST VERMONT STREET
Practice Address - Street 2:SUITE 013
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-3698
Practice Address - Country:US
Practice Address - Phone:317-523-1718
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-25
Last Update Date:2019-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle