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IDENTITY OUTREACH PROGRAM CORP.
NPI 1043928187
Respite Care - Respite Care, Intellectual and/or Developmental Disabilities in Indianapolis, IN

Active since November 08, 2022
7098 N SHADELAND AVE STE F, INDIANAPOLIS, IN 46220(317) 771-3006 Get Directions Write a Review

NPPES record last updated: March 12, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 12, 2023, Feb 15, 2023, Nov 8, 2022 (3 updates tracked since 2022).

About Identity Outreach Program Corp. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IDENTITY OUTREACH PROGRAM CORP. (NPI 1043928187) is a healthcare organization registered as a respite care, intellectual and/or developmental disabilities in Indianapolis, Indiana and active in the NPI registry since November 2022. The organization lists Jasmine Tucker, Ceo/founder, as its authorized official.

NPPES Registry Identity

NPI1043928187
Entity TypeOrganization
Primary Taxonomy385HR2060X
Legal Business NameIDENTITY OUTREACH PROGRAM CORP.
Location Address7098 N SHADELAND AVE STE FIndianapolis, IN 46220-4275
Mailing Address7098 N Shadeland Ave Ste FIndianapolis, IN 46220-4275 · (317) 771-3006
Phone(317) 771-3006
Organization SubpartNo
Authorized OfficialJasmine TuckerCeo/founder · (317) 771-3006
Enumeration DateNovember 8, 2022
Last NPPES UpdateMarch 12, 20233 updates tracked since enumeration
NPPES CertifiedMarch 12, 2023
✔ NPI 1043928187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRespite Care · Respite Care, Intellectual and/or Developmental DisabilitiesRespite Care Facility
Taxonomy Code385HR2060X
Definition

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.

Also ListedCase ManagementTaxonomy 251B00000X
7098 N SHADELAND AVE STE F, Indianapolis, IN 46220
Open in Google Maps ↗

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEMETRIUS FRIERSON
Contractor
7098 N SHADELAND AVE STE F
INDIANAPOLIS, IN 46220
Marion County (317) 771-3006
DONTES CLAY
Contractor
7098 N SHADELAND AVE STE F
INDIANAPOLIS, IN 46220
Marion County (317) 771-3006
JASMINE TUCKER
Contractor
7098 N SHADELAND AVE STE F
INDIANAPOLIS, IN 46220
Marion County (317) 771-3006

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Identity Outreach Program Corp.'s NPI number?

The NPI number for Identity Outreach Program Corp. is 1043928187. It was assigned to this organization in the NPPES registry on November 8, 2022.

Where is Identity Outreach Program Corp. located?

Identity Outreach Program Corp. is located at 7098 N Shadeland Ave Ste F, Indianapolis, IN 46220. The listed phone number is (317) 771-3006.

What is Identity Outreach Program Corp.'s specialty?

The primary specialty registered for this NPI is Respite Care, specializing in Respite Care, Intellectual and/or Developmental Disabilities, with taxonomy code 385HR2060X.

When was this NPI record last updated?

The NPPES record for Identity Outreach Program Corp. was last updated on March 12, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.