Lateifah Sharee Ingram

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Practice address

110 E Main St Ste 200D
Clinton, NC 28328-4029

Phone

(919) 440-2650

NPI assigned

Oct 19, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Heart 2 Heart Healthcare

  • In Home Supportive Care Agency
  • Clinton, NC
  • NPI 1154015972

  Home Health

  NPD Authorized official

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1386360436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 PERKINS RD",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275308053",
            "telephone_number": "919-440-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E MAIN ST STE 200D",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283284029",
            "telephone_number": "919-440-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGRAM",
        "first_name": "LATEIFAH",
        "middle_name": "SHAREE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-19",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC6967",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME CARE",
            "identifier": "87122057",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Huff Orthopaedic Group, P.a.
• Huff Orthopaedic Group, P.a.
• Henry T Hyman, D.O.
• Infinity Healthcare Services Inc
• Infinity Healthcare Services Inc
• Angela Faye Inman, MSW, LCSW
• Inomancy Inc
• Interim Healthcare of the Eastern Carolinas, Inc
• Jasmine Istoni - Cadena
• Crystal Jackson

• All providers in Clinton, NC
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.