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Indiana Fair Chance LLC

Case Management Agency in Indianapolis, IN · enumerated 2012 · authorized official Mary Bullock, Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1235494006

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Registry record

Entity type Organization (Type 2)
Legal business name Indiana Fair Chance LLC
Practice address 7437 Cobblestone East Dr, Indianapolis, IN, 46236
Phone (317) 418-7840
Enumeration date Jul 9, 2012
Last updated in NPPES Jul 9, 2012

Taxonomy & classification

251B00000X Case Management Agency Agencies Primary

Authorized official

Name Mary Bullock
Title Manager
Phone (317) 418-7840

Other identifiers

Identifier Type State Issuer
201068830 A Other IN WAIVER PROVIDER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Indiana Fair Chance LLC?
The NPI for Indiana Fair Chance LLC is 1235494006, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Indiana Fair Chance LLC?
NPPES lists Mary Bullock (Manager) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-07-09.