Ingram Assisted Living LLC

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

INGRAM ASSISTED LIVING LLC

Practice address

6207 Thunder Dr
San Antonio, TX 78238-3452

Phone

(206) 504-9660

NPI assigned

Nov 8, 2024

Organization subpart

No

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

Authorized official

Name

Doru Nichitean

Title

Manager

Phone

(206) 504-9660

Specialties & licenses 1

Addresses

Other names 1

• Ingram Assisted Living Doing business as

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

{
    "created_epoch": "1731024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731024000000",
    "number": "1932923844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6207 THUNDER DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782383452",
            "telephone_number": "206-504-9660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6207 THUNDER DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782383452",
            "telephone_number": "206-504-9660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INGRAM ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-08",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A",
        "authorized_official_last_name": "NICHITEAN",
        "authorized_official_first_name": "DORU",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "206-504-9660"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ingram Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Edward Joseph Ingle
• Liudmyla Oleksiyivna Ingle, FNP
• Rosalinda Ingle, LVN
• Amanda L. Inglish, APRN, FNP-C
• Paul T Ingmundson, PH.D.
• Ingram Hills Dental, PLLC
• Ingram Mall Dental Center, P.L.L.C.
• Ingram Mall FDC PA
• Ingram Mall Fdcpa
• Alma Ingram Nlemadim

• Assisted Living Facility (Mental Illness) in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Assisted Living Facility (Mental Illness) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.