Kids Source, INC.
Early Intervention Provider Agency in Zionsville, IN. Organization (NPI-2).
NPI number1235214735
StatusActive
Last updated in NPPESApr 15, 2008
Details
- NPI
- 1235214735
- Entity type
- Organization (NPI-2)
- Legal business name
- Kids Source, INC.
- Organization subpart
- No
- Enumeration date
- Oct 25, 2006
- Last updated
- Apr 15, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 252Y00000X | Early Intervention Provider Agency | 200724480A | IN | Yes |
Practice location
260 Beechwood LnZionsville, IN 46077-1213
Phone 317-873-6952 · Fax 317-873-6952
Mailing address
260 Beechwood LnZionsville, IN 46077-1213
Phone 317-873-6952 · Fax 317-873-6952
Authorized official
Patricia Martin-Brown
President
3178736952
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