Identity Outreach Program Corp.

LBN: Identity Outreach Program Corp.
Identity Outreach Program Corp. is an health care organization with primary practice located at 7098 N Shadeland Ave Ste F , Indianapolis IN 46220-4275. The organization recently has 2 registered licenses in different health care specialties including Agencies / Case Management, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities. Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. Identity Outreach Program Corp. can be contacted via phone (317) 771-3006, or through Tucker, Jasmine via phone (317) 771-3006.

Contact Information

Primary practice address
7098 N Shadeland Ave Ste F Indianapolis IN 46220-4275
Phone: (317) 771-3006
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tucker, Jasmine
Phone: (317) 771-3006

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X

Profile Details

NPI number 1043928187
LBN Legal business name Identity Outreach Program Corp.
DBA Doing business as
Authorized official Tucker, Jasmine
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2022
Last updated Mar 12th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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