Active NPI
Lateifah Sharee Ingram
- Home Health Agency
- Clinton, NC
National Provider Identifier
1386360436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Practice address
- 110 E Main St Ste 200D
Clinton, NC 28328-4029 - Phone
- (919) 440-2650
- NPI assigned
- Oct 19, 2022
- Last updated
- Jun 26, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NC | Primary | |
| In Home Supportive Care Agency | 253Z00000X | HC6967 | NC |
Addresses
Primary practice location
110 E Main St Ste 200D
Clinton, NC 28328-4029
Mailing address
314 Perkins Rd
Goldsboro, NC 27530-8053
Phone (919) 440-2650
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HC6967 | NC | MD | In Home Supportive Care Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart 2 Heart Healthcare | Home Health | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
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": [],
"endpoints": [],
"other_names": []
}
Other providers in Clinton, NC
- Huff Orthopaedic Group, P.a. (Huff Orthopaedics & Sports Medicine)
- 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
Sources for this page
- 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.