Identity Outreach Program Corp.

Identity Outreach Program Corp. is a healthcare organization registered as Child Intellectual and/or Developmental Disabilities Respite Care in Indianapolis, IN, holding Type 2 (organization) NPI 1043928187 since 2022. The authorized official on file is Jasmine Tucker, Ceo/Founder.

✓ Active NPI ✓ Valid NPI checksum

NPI	1043928187
Entity type	Organization (Type 2)
Legal business name	Identity Outreach Program Corp.
Practice address	7098 N SHADELAND AVE STE F, Indianapolis, IN, 46220
Phone	3177713006
Enumeration date	2022-11-08
Last updated in NPPES	2023-03-12

Authorized official

Name	Jasmine Tucker
Title	Ceo/Founder
Phone	3177713006

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
251B00000X	Case Management Agency	Secondary	—	—
385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care	Primary	—	—

Copy-ready billing details

Provider: Identity Outreach Program Corp.
NPI: 1043928187
Taxonomy: 385HR2060X (Child Intellectual and/or Developmental Disabilities Respite Care)
Address: 7098 N SHADELAND AVE STE F, Indianapolis, IN, 46220

Providers at this address

NPI	Name	Type	Specialty	Location
1952016388	Jasmine Tucker	Individual	Contractor	Indianapolis, IN
1093494585	Demetrius Frierson	Individual	Contractor	Indianapolis, IN
1306526033	Dontes Clay	Individual	Contractor	Indianapolis, IN

Verify this record

Cross-check NPI 1043928187 against the authoritative CMS record: view Identity Outreach Program Corp. on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

What type of organization is Identity Outreach Program Corp.?

Identity Outreach Program Corp. is registered in NPPES as a Child Intellectual and/or Developmental Disabilities Respite Care (its primary provider taxonomy).

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2023-03-12.