Active NPI
Kendra Ingram
- Case Manager/Care Coordinator
- Oak Park, MI
National Provider Identifier
1346900271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 25900 Greenfield Rd
Oak Park, MI 48237-1292 - Phone
- (248) 445-1081
- Fax
- (888) 866-4391
- NPI assigned
- Dec 20, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
25900 Greenfield Rd
Oak Park, MI 48237-1292
Mailing address
PO Box 725024
Berkley, MI 48072-5024
Phone (248) 445-1081
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@sorcmanagement.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amplified Consulting Care LLC | Current | Accepting new patients | |
| Signs of Recovery Case Management LLC | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Case Management Agency
- Oak Park, MI
- NPI 1205594637
-
- Case Management Agency
- Southfield, MI
- NPI 1861350878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639958400000",
"number": "1346900271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 725024",
"city": "BERKLEY",
"state": "MI",
"postal_code": "480725024",
"telephone_number": "248-445-1081",
"fax_number": "888-866-4391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25900 GREENFIELD RD",
"city": "OAK PARK",
"state": "MI",
"postal_code": "482371292",
"telephone_number": "248-445-1081",
"fax_number": "888-866-4391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGRAM",
"first_name": "KENDRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-20",
"last_updated": "2021-12-20",
"certification_date": "2021-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@sorcmanagement.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "25900 Greenfield Rd",
"city": "Oak Park",
"state": "MI",
"country_code": "US",
"postal_code": "482371292",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Oak Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.