Ingleside at Home Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

INGLESIDE AT HOME INC

Doing business as

Ingleside at Home DC, LLC

Practice address

3050 Military Rd NW BLDG 1
Washington, DC 20015-1344

Phone

(703) 552-6140

NPI assigned

Jan 17, 2024

Organization subpart

No

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

Authorized official

Name

Denise Dagdagan

Title

Director of Operations

Phone

(703) 357-9612

Specialties & licenses 1

Addresses

Other names 1

• Ingleside at Home DC, LLC Doing business as

Locations

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705449600000",
    "number": "1275394389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 RESEARCH BLVD STE 450",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503853",
            "telephone_number": "703-357-9612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 MILITARY RD NW BLDG 1",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200151344",
            "telephone_number": "703-552-6140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INGLESIDE AT HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A",
        "authorized_official_last_name": "DAGDAGAN",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "703-357-9612"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ingleside at Home DC, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ingenuity Prep
• Jane Ingham
• Brian Inghram, OTR/L
• Mary Amanda Inghram, PA-C
• Zulma Aracely Ingles
• Ingleside at Rock Creek, Inc (Ingleside at Rock Creek)
• Antionette Ingraham
• Dannielle Ingraham
• Tameyah Ingraham
• Annette Delois Ingram, HHA

• In Home Supportive Care Agency in Washington, DC
• Providers in Washington, DC by specialty
• In Home Supportive Care Agency in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.