IDENTITY OUTREACH PROGRAM CORP. is a respite care and mental retardation and/or developmental disabilities respite care in Indianapolis, IN. The provider is a facility or distinct part of a facility that provides short term, residential care to children, diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers. IDENTITY OUTREACH PROGRAM CORP. NPI is 1043928187. The provider is registered as an organization entity type.
The provider's business location address is:
7098 N SHADELAND AVE STE F INDIANAPOLIS, IN ZIP 46220-275 Phone: (317) 771-3006
The provider's authorized official is Jasmine Tucker . The authorized official title is Ceo/founder and has the following contact phone number (317) 771-3006.
The enumeration date for this NPI number is 11/8/2022 and was last updated on 3/12/2023.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 3/30/2025
NPI Synchronization or Removal
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