MEDICARE: KINSHIP PACE OF INDIANA LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251T00000X	PACE Provider Organization

General Provider Information

NPI Number	:	1538983622
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KINSHIP PACE OF INDIANA LLC

Provider Business Mailing Address
First Line	:	885 3RD AVE FL 29
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10022-4834
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3734 S REED RD
Second Line	:
City	:	KOKOMO
State	:	IN
Zip	:	46902-3829
Country	:	US
Telephone Number	:	570-371-7371
Fax Number	:

Authorized Official
Title or Position	:	INTERIM CEO, CHIEF STRATEGY OFFICER
Name	:	JUDY KOHN
Credential	:
Telephone Number	:	917-270-0599

Provider Enumeration Date	:	11/14/2024
Last Update Date	:	02/10/2025

Similar Medicare Providers

1659359891 — ALICE BUCKLEY M.D.
Practice Location Address:

3728 S REED RD
KOKOMO, IN
46902-3829

Practice Phone: 765-626-7110
Practice Fax:

1407052137 — LIBERTY DIALYSIS - KOKOMO LLC
Practice Location Address:

3760 S REED RD
KOKOMO, IN
46902-3829

Practice Phone: 765-864-1669
Practice Fax: 765-864-1758

1336734938 — LINDSEY CAROL ROBERTS FNP
Practice Location Address:

3728 S REED RD
KOKOMO, IN
46902-3829

Practice Phone: 765-626-7110
Practice Fax: 765-450-4495

1215797345 — MELISSA COLEMAN FNP
Practice Location Address:

3728 S REED RD
KOKOMO, IN
46902-3829

Practice Phone: 765-626-7110
Practice Fax:

1033703897 — SKYLER BREANNE APOLO MS, BCBA
Practice Location Address:

1558 E BOULEVARD STE A
KOKOMO, IN
46902-2587

Practice Phone: 765-252-0530
Practice Fax: 317-520-8200

1952249625 — HANNAH JANAI GIBSON
Practice Location Address:

2701 ALBRIGHT RD
KOKOMO, IN
46902-3996

Practice Phone: 765-438-8515
Practice Fax:

Directions to “KINSHIP PACE OF INDIANA LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.