Tangelo - Intend, Inc.

Primary specialty

Medical Foods SupplierTaxonomy code 335G00000X

Legal business name

TANGELO - INTEND, INC.

Practice address

550 W Merrill St Ste 100
Birmingham, MI 48009-1443

Phone

(503) 936-1400

NPI assigned

Nov 18, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Christopher Nathan O'Connor

Title

Cfo

Phone

(904) 671-2995

Specialties & licenses 2

Addresses

Other names 1

• Tangelo Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

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

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1649937236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 W MERRILL ST STE 100",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480091443",
            "telephone_number": "503-936-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 W MERRILL ST STE 100",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480091443",
            "telephone_number": "503-936-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANGELO - INTEND, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-18",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "O'CONNOR",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "NATHAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "904-671-2995",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335G00000X",
            "taxonomy_group": "",
            "desc": "Medical Foods Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tangelo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Synergy Wellness
• Haley Sztykiel, LMSW
• Jennifer Jo Tackett, ART THERAPIST ATR
• Takako Benn MD PLLC
• Beverly Steinman Talan, PH.D.
• Katherine Marie Tarpeh, M.S.E.
• Bradley Thomas Tata, MT-BC
• Patricia Ann Tattrie, PSY.D. L.P.
• Dana L Tautfest, PSY.D.
• Amber Taylor

• Medical Foods Supplier in Birmingham, MI
• Providers in Birmingham, MI by specialty
• Medical Foods Supplier in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.