Organization
COACH DREAMMAKERS LLC
Active
Organization
COACH DREAMMAKERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICKY BUCKLEY (OWNER)
(317) 513-2386
Entity
Organization
Contact information
Practice address
5626 PORTWOOD PL, INDIANAPOLIS, IN 46254-5140
(317) 513-2386
Mailing address
5626 PORTWOOD PL, INDIANAPOLIS, IN 46254-5140
(317) 513-2386
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2330496686
IN
Other
Enumeration date
11/13/2014
Last updated
11/13/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up