Ikhlas Home Care LLC

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Legal business name

IKHLAS HOME CARE LLC

Practice address

2327 Spy Run Ave
Fort Wayne, IN 46805-3248

Phone

(260) 209-4303

NPI assigned

Nov 9, 2024

Last updated

Nov 9, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Imran Yusof

Title

Ceo

Phone

(317) 426-6544

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1731110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731110400000",
    "number": "1184448805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2327 SPY RUN AVE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468053248",
            "telephone_number": "260-209-4303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2327 SPY RUN AVE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468053248",
            "telephone_number": "260-209-4303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IKHLAS HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-09",
        "last_updated": "2024-11-09",
        "certification_date": "2024-11-09",
        "status": "A",
        "authorized_official_last_name": "YUSOF",
        "authorized_official_first_name": "IMRAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-426-6544"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Attendant Care Provider in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Attendant Care Provider in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.