Kanisha Jordan

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

300104002 Issued in IN

Practice address

2201 E 46TH St Ste 119
Indianapolis, IN 46205-1449

Phone

(317) 289-9077

NPI assigned

Mar 24, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• In2It Care, LLC

  • In Home Supportive Care Agency
  • Indianapolis, IN
  • NPI 1861293979
  NPD Authorized official

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

{
    "created_epoch": "1742774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1972304186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 E 46TH ST STE 119",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462051449",
            "telephone_number": "317-289-9077",
            "fax_number": "317-289-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 E 46TH ST STE 119",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462051449",
            "telephone_number": "317-289-9077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "KANISHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-24",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": "IN",
            "license": "300104002",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IN",
            "license": "300104002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David McGrain Jordan II, DDS
• Jana Jordan, MOT
• Jeffrey Lamont Jordan, D.D.S
• Jennifer Jordan, SLP
• Jennifer Kathryn Jordan
• Kara Monet Jordan, CNA,HHA
• Kayla Jordan
• Latasha Jordan
• Lucas Jordan, LDO, ABOC, NCLEC
• Marcia L Jordan, MS

• In Home Supportive Care Agency in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• In Home Supportive Care Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; 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.