Organization Active NPI

Kidmosphere Inc

  • Home Health Agency
  • Indianapolis, IN
National Provider Identifier
1336966167
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Sep 23, 2024

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.