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Lateifah Sharee Ingram
In Home Supportive Care Agency in Clinton, North Carolina
NPI 1386360436

Lateifah Sharee Ingram is a In Home Supportive Care Agency based in Goldsboro, NC. Lateifah Sharee Ingram practices in Clinton, NC. The NPI Number for Lateifah Sharee Ingram is 1386360436 and holds a License No. (North Carolina).

The current practice location address for Lateifah Sharee Ingram is 110 E Main St Ste 200D, Clinton, NC and can be reached out via phone at 919-440-2650. You can also correspond with Lateifah Sharee Ingram through the mailing address at 314 PERKINS RD, GOLDSBORO, NC - 27530-8053 (mailing address contact number: 919-440-2650).

Location: 110 E Main St Ste 200D, Clinton, NC, 27530-8053
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386360436
Provider Name
Lateifah Sharee Ingram
Credential
Provider Entity Type
Individual
Gender
Female
Address
110 E Main St Ste 200D, Clinton, NC, 27530-8053
Phone Number
919-440-2650
Fax Number
Provider Enumeration Date
10/19/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
87122057 01 NC HOME CARE
institution
Provider Business Practice Location Address Details
Address
110 E Main St Ste 200D
City
Clinton
State
North Carolina
Zip
28328-4029
Phone Number
919-440-2650
Fax Number
person
Provider Business Mailing Address Details
Address
110 E Main St Ste 200D
City
Clinton
State
North Carolina
Zip
28328-4029
Phone Number
919-440-2650
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
HC6967 (North Carolina)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
In Home Supportive Care
Speciality
-
Taxonomy
253Z00000X
License No.
(North Carolina)
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
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