Identity Outreach Program Corp.
NPI 1043928187 · Child Intellectual and/or Developmental Disabilities Respite Care · Indianapolis, IN
Identity Outreach Program Corp. is a Child Intellectual and/or Developmental Disabilities Respite Care organization in Indianapolis, IN (NPI 1043928187).
Provider details
- NPI number
- 1043928187
- Entity type
- Organization
- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite CareRespite Care Facility
- Organization subpart
- No
- Authorized official
- Jasmine Tucker, Ceo/Founder(317) 771-3006
Specialties & taxonomies
Respite Care Facility
- Case Management Agency251B00000X
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-11-08
- Last updated
- 2023-03-12
- Certified
- 2023-03-12
Frequently asked questions
- What is Identity Outreach Program Corp.'s NPI number?
- Identity Outreach Program Corp.'s National Provider Identifier (NPI) is 1043928187, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Identity Outreach Program Corp.?
- Identity Outreach Program Corp. is classified in the NPPES registry as Child Intellectual and/or Developmental Disabilities Respite Care (Respite Care Facility).
- Where is Identity Outreach Program Corp. located?
- Identity Outreach Program Corp.'s practice location on file with NPPES is 7098 N Shadeland Ave Ste F, Indianapolis, IN 46220-4275.
- What is Identity Outreach Program Corp.'s phone number?
- The practice phone number listed in the NPPES registry for Identity Outreach Program Corp. is (317) 771-3006.
- Who is the authorized official for Identity Outreach Program Corp.?
- The authorized official listed on Identity Outreach Program Corp.'s NPPES record is Jasmine Tucker, Ceo/Founder. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Identity Outreach Program Corp.'s NPI active?
- Yes — Identity Outreach Program Corp.'s NPI (1043928187) is active in the NPPES registry as of the last update on 2023-03-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.