Incani Health Care

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

INCANI HEALTH CARE

Practice address

1316 Minnesota Way
Upper Marlboro, MD 20774-6060

Phone

(202) 256-4940

NPI assigned

Jun 15, 2022

Organization subpart

No

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

Authorized official

Name

Ngwobia C Idika

Title

Administrator

Phone

(202) 702-6789

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Atola Nnenna Idika

  • Psychiatric/Mental Health Nurse Practitioner
  • White Plains, MD
  • NPI 1487265864
  NPD

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673827200000",
    "number": "1841920303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 MINNESOTA WAY",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207746060",
            "telephone_number": "202-256-4940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 MINNESOTA WAY",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207746060",
            "telephone_number": "202-256-4940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INCANI HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-15",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A",
        "authorized_official_last_name": "IDIKA",
        "authorized_official_first_name": "NGWOBIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "202-702-6789"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oluwaseun Iluyomade
• Imelda Anyaoha
• Imelda Miranda, M.D.
• Impeccable Healthcare Services, Inc
• In-Home Medical Supplies, LLC
• Individual Unique Care Services
• Infinite Journey NP LLC
• Infinity Mental Health
• Innergy Renewal, LLC
• Innerlight Residential Care Inc

• Skilled Nursing Facility in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Skilled Nursing Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.

Verify at the official NPI Registry.