Provider Demographics
NPI:1528860608
Name:INGLESIDE HOMES, INC.
Entity type:Organization
Organization Name:INGLESIDE HOMES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TINA
Authorized Official - Middle Name:
Authorized Official - Last Name:BUGG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-575-0250
Mailing Address - Street 1:1005 N FRANKLIN ST OFC
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19806-4557
Mailing Address - Country:US
Mailing Address - Phone:302-575-0250
Mailing Address - Fax:302-426-6426
Practice Address - Street 1:1005 N FRANKLIN ST OFC
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19806-4557
Practice Address - Country:US
Practice Address - Phone:302-575-0250
Practice Address - Fax:302-426-6426
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-27
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals