Individual provider Active NPI

Moussa Kaba

  • In Home Supportive Care Agency
  • Fishers, IN
National Provider Identifier
1417838608
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
25-018408-1 Issued in IN
Practice address
14134 Calming Waters
Fishers, IN 46038-6659
Phone
(317) 900-6355
NPI assigned
Sep 12, 2025
Last updated
Aug 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Homemaker 376J00000X 25-018408-1 IN
In Home Supportive Care Agency 253Z00000X 25-018408-1 IN Primary

Addresses

Primary practice location

14134 Calming Waters
Fishers, IN 46038-6659

Mailing address

14134 Calming Waters
Fishers, IN 46038-6659
Phone (317) 900-6355

Other names 1

  • Mrs. Gossa Kaba Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
25-018408-1INMDHomemaker

Practice roles

OrganizationSpecialtyStatusNew patients
Kaba Cares Transportation LLC PastSince Sep 14, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1757635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1417838608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14134 CALMING WATERS",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460386659",
            "telephone_number": "317-900-6355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14134 CALMING WATERS",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460386659",
            "telephone_number": "317-900-6355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KABA",
        "first_name": "MOUSSA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-12",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "IN",
            "license": "25-018408-1",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IN",
            "license": "25-018408-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GOSSA",
            "last_name": "KABA",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; 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.