NPIMap

Organization Active NPI

Ingalls Home Care

Doing business as Ingalls Private Duty Home Nursing Agency

  • Nursing Care Agency
  • Harvey, IL
National Provider Identifier
1598947418
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
INGALLS HOME CARE
Doing business as
Ingalls Private Duty Home Nursing Agency
Practice address
1 Ingalls Dr
Harvey, IL 60426-3558
Phone
(708) 331-0226
Fax
(708) 915-2749
NPI assigned
Dec 3, 2007
Organization subpart
Yes
Parent organization
INGALLS HOME CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

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

Authorized official

Name
Sandra Feliksik, RN
Title
Asst Director Quality & Compliance
Phone
(708) 331-0226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

1 Ingalls Dr
Harvey, IL 60426-3558

Mailing address

1 Ingalls Dr
Harvey, IL 60426-3558
Phone (708) 331-0226

Other identifiers 1

IdentifierTypeStateIssuer
1636254OtherILBLUE CROSS

Other names 1

  • Ingalls Private Duty Home Nursing Agency Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ucm Home Care4 organizations share this tax ID, including this one
Part of
Ucm Home Care

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

19730 Governors Hwy
Flossmoor, IL 60422
Phone (708) 957-2727

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634256000000",
    "number": "1598947418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INGALLS DR",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "604263558",
            "telephone_number": "708-331-0226",
            "fax_number": "708-915-2749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 INGALLS DR",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "604263558",
            "telephone_number": "708-331-0226",
            "fax_number": "708-915-2749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INGALLS HOME CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INGALLS HOME CARE",
        "enumeration_date": "2007-12-03",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A",
        "authorized_official_last_name": "FELIKSIK",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "ASST DIRECTOR QUALITY & COMPLIANCE",
        "authorized_official_telephone_number": "708-331-0226",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "1636254",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ingalls Private Duty Home Nursing Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harvey, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.

Verify at the official NPI Registry.