Active NPI
Kidmosphere Inc
- Home Health Agency
- Indianapolis, IN
National Provider Identifier
1336966167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- KIDMOSPHERE INC
- Practice address
- 1054 Virginia Ave Ste 220
Indianapolis, IN 46203-1880 - Phone
- (317) 930-1615
- NPI assigned
- Sep 23, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephanie Harris
- Title
- Ceo
- Phone
- (463) 308-6353
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1054 Virginia Ave Ste 220
Indianapolis, IN 46203-1880
Mailing address
1054 Virginia Ave Ste 220
Indianapolis, IN 46203-1880
Phone (317) 930-1615
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727049600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727049600000",
"number": "1336966167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1054 VIRGINIA AVE STE 220",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462031880",
"telephone_number": "317-930-1615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1054 VIRGINIA AVE STE 220",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462031880",
"telephone_number": "317-930-1615"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIDMOSPHERE INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-23",
"last_updated": "2024-09-23",
"certification_date": "2024-09-23",
"status": "A",
"authorized_official_last_name": "HARRIS",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "463-308-6353"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.