Provider Demographics
NPI:1063835338
Name:INTEGRATIVE HOME HEALTHCARE SERVICES, LLC
Entity Type:Organization
Organization Name:INTEGRATIVE HOME HEALTHCARE SERVICES, LLC
Other - Org Name:INTEGRATIVE HOMECARE
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHI
Authorized Official - Middle Name:C
Authorized Official - Last Name:ISIRIMAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-235-2261
Mailing Address - Street 1:7722 TEA TABLE DR
Mailing Address - Street 2:
Mailing Address - City:LORTON
Mailing Address - State:VA
Mailing Address - Zip Code:22079-4707
Mailing Address - Country:US
Mailing Address - Phone:571-235-2261
Mailing Address - Fax:
Practice Address - Street 1:7722 TEA TABLE DR
Practice Address - Street 2:
Practice Address - City:LORTON
Practice Address - State:VA
Practice Address - Zip Code:22079-4707
Practice Address - Country:US
Practice Address - Phone:571-235-2261
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-22
Last Update Date:2014-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health