Provider Demographics
NPI:1689437485
Name:GUIDING ROOTS MANAGEMENT GROUP
Entity type:Organization
Organization Name:GUIDING ROOTS MANAGEMENT GROUP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDSAY
Authorized Official - Middle Name:
Authorized Official - Last Name:SINN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-460-4812
Mailing Address - Street 1:4040 S MERIDIAN ST STE 5
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46217-3310
Mailing Address - Country:US
Mailing Address - Phone:317-460-4812
Mailing Address - Fax:317-854-0516
Practice Address - Street 1:819 E 64TH ST STE 246
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46220-6608
Practice Address - Country:US
Practice Address - Phone:317-268-2049
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-05
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty