Imhotep, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

IMHOTEP, INC.

Practice address

14989 Sorrel Rd
Victorville, CA 92394-7462

Phone

(760) 718-9999

NPI assigned

Aug 15, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Michelle Adumea Asare-Imhotep, REGISTERED NURSE

Title

President/Ceo

Phone

(918) 853-1053

Specialties & licenses 1

Addresses

Other names 1

• Presidential Care Hospice Doing business as

Tax ID family

Imhotep Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Imhotep, Inc.

  • Home Health Agency
  • Ontario, CA
  • NPI 1134528342
  NPD tax ID

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408060800000",
    "number": "1952700932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14989 SORREL RD",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923947462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14989 SORREL RD",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923947462",
            "telephone_number": "760-718-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMHOTEP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-15",
        "last_updated": "2014-08-15",
        "status": "A",
        "authorized_official_last_name": "ASARE-IMHOTEP",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "ADUMEA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "918-853-1053",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Presidential Care Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community Based Hospice Care Agency in Victorville, CA
• Providers in Victorville, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; 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.