# KIDMOSPHERE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336966167
- **Authorized official:** STEPHANIE HARRIS (CEO)
- **Authorized official phone:** (463) 308-6353

## Contact information

- **Practice address:** 1054 VIRGINIA AVE STE 220, INDIANAPOLIS, IN 46203-1880
- **Practice address phone:** (317) 930-1615
- **Mailing address:** 1054 VIRGINIA AVE STE 220, INDIANAPOLIS, IN 46203-1880
- **Mailing address phone:** (317) 930-1615

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/23/2024
- **Last updated:** 09/23/2024