Ileana'S Care Home Inc

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

ILEANA'S CARE HOME INC

Practice address

6401 W Clifton St
Tampa, FL 33634-5010

Phone

(201) 741-5460

Fax

(813) 559-7301

NPI assigned

Jan 27, 2022

Organization subpart

No

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

Authorized official

Name

Ileana Bermudez

Title

Administrator

Phone

(201) 741-5460

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643241600000",
    "number": "1902559289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 W CLIFTON ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336345010",
            "telephone_number": "201-741-5460",
            "fax_number": "813-559-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 W CLIFTON ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336345010",
            "telephone_number": "201-741-5460",
            "fax_number": "813-559-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILEANA'S CARE HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-27",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A",
        "authorized_official_last_name": "BERMUDEZ",
        "authorized_official_first_name": "ILEANA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "201-741-5460"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022857600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ignite Home Health LLC
• Patrick Abhulime Ijewere, B.PHARM, M.D., MBA
• Folashade Deborah Ijoma
• Erin Anne Ikenberry, PA-C
• Ilacus LLC
• Christopher A Iler, PSY.D.
• Elizabeth Ann Iler, M.S. CCC-SLP
• Arzu Ilercil, MD
• Nicholas Illanes
• John Matthew Illes, B.A

• Developmental Disabilities Clinic/Center in Tampa, FL
• Providers in Tampa, FL by specialty
• Developmental Disabilities Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.