Ingress Healthcare Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

348454 Issued in MN

Legal business name

INGRESS HEALTHCARE INC

Practice address

1020 W Medicine Lake Dr
#204
Plymouth, MN 55441-4513

Phone

(952) 261-5733

NPI assigned

May 17, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Olaleye Shobola

Title

Administrator

Phone

(952) 261-5733

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1274054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274140800000",
    "number": "1235458167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 W MEDICINE LAKE DR",
            "address_2": "#204",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554414513",
            "telephone_number": "952-261-5733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 W MEDICINE LAKE DR",
            "address_2": "#204",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554414513",
            "telephone_number": "952-261-5733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INGRESS HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-17",
        "last_updated": "2010-05-18",
        "status": "A",
        "authorized_official_last_name": "SHOBOLA",
        "authorized_official_first_name": "OLALEYE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "952-261-5733",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "348454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2010; 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.