Provider Demographics
NPI:1083942585
Name:IMPERIAL HOME HEALTH CARE,LLC
Entity Type:Organization
Organization Name:IMPERIAL HOME HEALTH CARE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:EHIANU
Authorized Official - Middle Name:
Authorized Official - Last Name:IHIANLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-507-3533
Mailing Address - Street 1:153 BROAD ST
Mailing Address - Street 2:
Mailing Address - City:PLAINVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06062-2103
Mailing Address - Country:US
Mailing Address - Phone:860-351-5298
Mailing Address - Fax:
Practice Address - Street 1:153 BROAD ST
Practice Address - Street 2:
Practice Address - City:PLAINVILLE
Practice Address - State:CT
Practice Address - Zip Code:06062-2103
Practice Address - Country:US
Practice Address - Phone:860-351-5298
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-23
Last Update Date:2009-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTHCA.0000281251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTHCA.0000281OtherDEPARTMENT OF CONSUMER PROTECTION