Provider Demographics
NPI:1447594049
Name:INGLESIDE HOMES, INC
Entity Type:Organization
Organization Name:INGLESIDE HOMES, INC
Other - Org Name:INGLESIDE HOME HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:JONAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-575-0250
Mailing Address - Street 1:1005 N FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19806-4553
Mailing Address - Country:US
Mailing Address - Phone:302-575-0250
Mailing Address - Fax:302-575-9955
Practice Address - Street 1:1005 N FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19806-4553
Practice Address - Country:US
Practice Address - Phone:302-575-0250
Practice Address - Fax:302-575-9955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-20
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEA000000237OtherDMAP STATE OF DELAWARE