Active NPI
In-Home Non-Emergency Treatment Team
- Home Infusion Agency
- Lake Elsinore, CA
National Provider Identifier
1205134442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | |||
| Family Psychologist | 103TF0000X | |||
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | |||
| Physical Therapist | 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 Specialist | 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
- In-Home Non-Emergency Treatment Team (iNETT)
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | myinett.com | Other |
National Provider Directory
National Provider DirectoryNPI 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
- Amanda Hurst, PT, DPT, ATC
- Kelly J Hwang, D.D.S.
- Kailey Hyatt
- Marian Ibraheam
- Imperial Medical Managemenr, Inc.
- In-Home Senior Care Services LLC (Senior Helpers of Menifee Valley)
- Inb Transportation
- Inland Empire Medical Group, Inc
- Inland Psychiatric Medical Group, Inc
- Inland Urgent Care a Medical Corporation
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.