Organization Active NPI

Infom Healthcare Agency

  • Home Health Agency
  • Providence, RI
National Provider Identifier
1649097791
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
INFOM HEALTHCARE AGENCY
Doing business as
infom healthcare agency
Practice address
1 Amanda Way
Providence, RI 02904-1069
Phone
(401) 516-0937
NPI assigned
Sep 20, 2024
Last updated
Sep 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Authorized official

Name
Oluwafunke Josephine Ishioye, REGISTERED NURSE
Title
Nurse
Phone
(401) 516-0937

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

1 Amanda Way
Providence, RI 02904-1069

Mailing address

1 Amanda Way
Providence, RI 02904-1069
Phone (401) 516-0937

Other names 1

  • infom healthcare agency Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1726790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1649097791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 AMANDA WAY",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029041069",
            "telephone_number": "401-516-0937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 AMANDA WAY",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029041069",
            "telephone_number": "401-516-0937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFOM HEALTHCARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-20",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "ISHIOYE",
        "authorized_official_first_name": "OLUWAFUNKE",
        "authorized_official_middle_name": "JOSEPHINE",
        "authorized_official_title_or_position": "NURSE",
        "authorized_official_telephone_number": "401-516-0937",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "infom healthcare agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.