Healthcare Provider Details

I. General information

NPI: 1174379440
Provider Name (Legal Business Name): KAPRICE NICOLE STRONG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/27/2024
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2736 MORNING STAR DR
INDIANAPOLIS IN
46229-1144
US

IV. Provider business mailing address

3039 N POST RD
INDIANAPOLIS IN
46226-6543
US

V. Phone/Fax

Practice location:
  • Phone: 317-350-3869
  • Fax:
Mailing address:
  • Phone: 317-350-3869
  • Fax: 317-377-4134

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number24-017064
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number24-017064
License Number StateIN
# 3
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateIN
# 4
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number24-017064
License Number StateIN
# 5
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number24-017064
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: