KENISHA ROSE INGRAM
NPI 1366825648
Home Health in Sacramento, CA

Active since July 03, 2015
3216 PAUMANOK WAY, SACRAMENTO, CA 95835(916) 470-7404 Get Directions Write a Review

NPPES record last updated: July 3, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kenisha Rose Ingram NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENISHA ROSE INGRAM (NPI 1366825648) is an individual home health provider in Sacramento, California, licensed in California (1022166) and active in the NPI registry since July 2015.

NPPES Registry Identity

NPI1366825648
Entity TypeIndividualFemale
Primary Taxonomy251E00000X
Provider Legal NameKENISHA ROSE INGRAM
Location Address3216 PAUMANOK WAYSacramento, CA 95835-2450
Mailing Address3216 Paumanok WaySacramento, CA 95835-2450 · (916) 470-7404
Sole ProprietorYes
Enumeration DateJuly 3, 2015
NPI 1366825648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License Licensed in CA · 1022166
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.

3216 PAUMANOK WAY, Sacramento, CA 95835

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366825648, enumerated as an "individual" on July 03, 2015.

The provider is located at 3216 PAUMANOK WAY SACRAMENTO, CA 95835 and the phone number is (916) 470-7404.

Home Health with taxonomy code 251E00000X.