Provider Demographics
NPI:1134240955
Name:INDY REHAB & HEALTH SERVICES
Entity type:Organization
Organization Name:INDY REHAB & HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PEGGY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SOLANO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:317-541-4350
Mailing Address - Street 1:4082 PENDLETON WAY
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46226-5224
Mailing Address - Country:US
Mailing Address - Phone:317-541-4350
Mailing Address - Fax:317-546-1920
Practice Address - Street 1:4082 PENDLETON WAY
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46226-5224
Practice Address - Country:US
Practice Address - Phone:317-541-4350
Practice Address - Fax:317-546-1920
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation PractitionerGroup - Multi-Specialty