Active NPI
Ic Nursing Services Inc
- In Home Supportive Care Agency
- Miami Lakes, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- IC NURSING SERVICES INC
- Practice address
- 15315 NW 60TH Ave Ste D
Miami Lakes, FL 33014-2440 - Phone
- (786) 747-4776
- Fax
- (305) 726-0087
- NPI assigned
- Jun 3, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Iliana Camejo
- Title
- Owner
- Phone
- (305) 978-2972
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
15315 NW 60TH Ave Ste D
Miami Lakes, FL 33014-2440
Mailing address
15315 NW 60TH Ave Ste D
Miami Lakes, FL 33014-2440
Phone (786) 747-4776
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115119000 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Ic Nursing Services Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Pembroke Pines, FL
- NPI 1073430336
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Home Health Agency
- Pembroke Pines, FL
- NPI 1073430336
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Primary Care Nurse Practitioner
- Miami, FL
- NPI 1093462418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654214400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782777600000",
"number": "1669111944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15315 NW 60TH AVE STE D",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330142440",
"telephone_number": "786-747-4776",
"fax_number": "305-726-0087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15315 NW 60TH AVE STE D",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330142440",
"telephone_number": "786-747-4776",
"fax_number": "305-726-0087"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IC NURSING SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-03",
"last_updated": "2026-06-30",
"certification_date": "2026-06-30",
"status": "A",
"authorized_official_last_name": "CAMEJO",
"authorized_official_first_name": "ILIANA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "305-978-2972"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115119000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.