Organization Active NPI

In-Home Non-Emergency Treatment Team

  • Home Infusion Agency
  • Lake Elsinore, CA
National Provider Identifier
1205134442
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion AgencyTaxonomy code 251F00000X
Legal business name
IN-HOME NON-EMERGENCY TREATMENT TEAM
Practice address
17240 Encina Dr
Lake Elsinore, CA 92530-5744
Phone
(951) 457-3315
NPI assigned
Mar 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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

Authorized official

Name
Mr. Jeremy D Cook
Title
Ceo
Phone
(951) 457-3315

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X
Family PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TF0000X
Hospice and Palliative Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0002X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Case Management Agency 251B00000X
Home Health Agency 251E00000X
Home Infusion Agency 251F00000X Primary
Nursing Care Agency 251J00000X
In Home Supportive Care Agency 253Z00000X
Multi-Specialty Clinic/Center 261QM1300X
Medical Specialty Clinic/Center 261QM2500X
Primary Care Clinic/Center 261QP2300X
Urgent Care Clinic/Center 261QU0200X
Clinical Medical Laboratory 291U00000X
Chronic Care Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SC2300X

Addresses

Primary practice location

17240 Encina Dr
Lake Elsinore, CA 92530-5744

Mailing address

17240 Encina Dr
Lake Elsinore, CA 92530-5744
Phone (951) 457-3315

Other names 2

  • Etlenty Systems Inc Former legal business name
  • In-Home Non-Emergency Treatment Team (iNETT) Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL myinett.com Other

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1299888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600128000000",
    "number": "1205134442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17240 ENCINA DR",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925305744",
            "telephone_number": "951-457-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17240 ENCINA DR",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925305744",
            "telephone_number": "951-457-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN-HOME NON-EMERGENCY TREATMENT TEAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-12",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-457-3315",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SC2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Chronic Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "myinett.com",
            "affiliation": "N",
            "endpointDescription": "Our main function is Telehealth and In-Home Non-Emergency Response. Our endpoint is where information is sent and received is a HIPAA  compliant, encrypted server.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Storage of vital information, prescriptions and patient health information",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "17240 Encina Dr",
            "city": "Lake Elsinore",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925305744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Etlenty Systems Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "In-Home Non-Emergency Treatment Team (iNETT)",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lake Elsinore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.