Organization
INDIVIDUAL SUPPORT SERVICES, INC
Active
Other names
Individual Support Home Health Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY JO MOORE (OWNER)
(765) 354-9009
Entity
Organization
Contact information
Practice address
956 BEECHWOOD AVE, MIDDLETOWN, IN 47356-9358
(765) 354-9009
(765) 354-9090
Mailing address
1006 W MILL ST, MIDDLETOWN, IN 47356-9353
(765) 354-9009
(765) 354-9090
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
011160
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200155060
—
IN
05
—
200836920
—
IN
Enumeration date
04/09/2007
Last updated
02/17/2026
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