Active NPI
Incremedical
- Home Health Agency
- Saint John, IN
National Provider Identifier
1922442151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 160.006272
- Legal business name
- INCREMEDICAL
- Practice address
- 8259 Wicker Ave
Saint John, IN 46373-8878 - Phone
- (800) 870-4540
- NPI assigned
- Apr 18, 2013
- 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
- Dorren Odunsi
- Title
- Executive Assistant
- Phone
- (813) 817-2110
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 160.006272 | IL | Primary |
Addresses
Primary practice location
8259 Wicker Ave
Saint John, IN 46373-8878
Mailing address
8259 Wicker Ave
Saint John, IN 46373-8878
National Provider Directory
National Provider Directory- Tax ID family
- Incremedical LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapist
- Saint John, IN
- NPI 1417900457
-
- Physical Therapist
- Brown Deer, WI
- NPI 1740548916
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366243200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1366243200000",
"number": "1922442151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8259 WICKER AVE",
"city": "SAINT JOHN",
"state": "IN",
"postal_code": "463738878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8259 WICKER AVE",
"city": "SAINT JOHN",
"state": "IN",
"postal_code": "463738878",
"telephone_number": "800-870-4540"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INCREMEDICAL",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-18",
"last_updated": "2013-04-18",
"status": "A",
"authorized_official_last_name": "ODUNSI",
"authorized_official_first_name": "DORREN",
"authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
"authorized_official_telephone_number": "813-817-2110"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "IL",
"license": "160.006272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint John, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.