{"npi":"1043928187","type":"NPI-2","status":"active","name":{"display":"Identity Outreach Program Corp.","other":[],"organization_name":"IDENTITY OUTREACH PROGRAM CORP.","authorised_official":"Jasmine Tucker"},"specialty":{"primary_taxonomy":"385HR2060X","primary_taxonomy_description":"Child Intellectual and/or Developmental Disabilities Respite Care","slug":"child-intellectual-and-or-developmental-disabilities-respite-care","schema_org_specialty":null,"all":[{"code":"251B00000X","description":"Case Management Agency","primary":false,"state":null,"license":null},{"code":"385HR2060X","description":"Child Intellectual and/or Developmental Disabilities Respite Care","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"7098 N SHADELAND AVE STE F","city":"INDIANAPOLIS","state":"IN","postal_code":"462204275","country_code":"US","phone":"3177713006"},{"purpose":"MAILING","street_1":"7098 N SHADELAND AVE STE F","city":"INDIANAPOLIS","state":"IN","postal_code":"462204275","country_code":"US","phone":"3177713006"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2022-11-08","last_updated":"2023-03-12","_meta":{"source":"NPPES","snapshot_date":"2023-03-12","doc_url":"https://findmynpi.com/api"}}