Organization Active NPI

Incredible Home Care Inc

  • Home Health Agency
  • Wilmington, DE
National Provider Identifier
1326609744
Registry record updated Nov 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
INCREDIBLE HOME CARE INC
Practice address
1224 N King St
Wilmington, DE 19801-3232
Phone
(888) 418-2221
Fax
(302) 429-5806
NPI assigned
Jun 26, 2019
Last updated
Nov 8, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2019

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

Authorized official

Name
Panadiane SamedyNPI 1700345113
Title
Alternate Director
Phone
(888) 418-2221

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary
Community Based Hospice Care Agency 251G00000X NU
Recovery Care Clinic/Center 261QR0800X NU
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X NU
In Home Supportive Care Agency 253Z00000X NU

Addresses

Primary practice location

1224 N King St
Wilmington, DE 19801-3232

Mailing address

1224 N King St
Wilmington, DE 19801-3232
Phone (888) 418-2221

National Provider Directory

National Provider Directory

Locations

1224 N King St
Wilmington, DE 19801
Phone (855) 420-3627

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573171200000",
    "number": "1326609744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 N KING ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198013232",
            "telephone_number": "888-418-2221",
            "fax_number": "302-429-5806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 N KING ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198013232",
            "telephone_number": "888-418-2221",
            "fax_number": "302-429-5806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INCREDIBLE HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-26",
        "last_updated": "2019-11-08",
        "status": "A",
        "authorized_official_last_name": "SAMEDY",
        "authorized_official_first_name": "PANADIANE",
        "authorized_official_title_or_position": "ALTERNATE DIRECTOR",
        "authorized_official_telephone_number": "888-418-2221"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; 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.