Provider Demographics
NPI:1659746709
Name:THE ALTRUIST GROUP, LLC
Entity Type:Organization
Organization Name:THE ALTRUIST GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATIONS OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JEANINE
Authorized Official - Middle Name:A
Authorized Official - Last Name:COLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-547-3041
Mailing Address - Street 1:9165 OTIS AVE
Mailing Address - Street 2:SUITE 235
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46216-2027
Mailing Address - Country:US
Mailing Address - Phone:317-547-3041
Mailing Address - Fax:
Practice Address - Street 1:9165 OTIS AVE
Practice Address - Street 2:SUITE 235
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46216-2027
Practice Address - Country:US
Practice Address - Phone:317-547-3041
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-01
Last Update Date:2015-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services