Organization
IDENTITY OUTREACH PROGRAM CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASMINE TUCKER (CEO/FOUNDER)
(317) 771-3006
Entity
Organization
Contact information
Practice address
7098 N SHADELAND AVE STE F, INDIANAPOLIS, IN 46220-4275
(317) 771-3006
Mailing address
7098 N SHADELAND AVE STE F, INDIANAPOLIS, IN 46220-4275
(317) 771-3006
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
11/08/2022
Last updated
03/12/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us