Provider Demographics
NPI:1174029300
Name:MULTICULTURAL IN HOME CARE SERVICES, LLC
Entity Type:Organization
Organization Name:MULTICULTURAL IN HOME CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:ADAN
Authorized Official - Last Name:IRAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-750-1290
Mailing Address - Street 1:9113 N FISKE AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97203-2793
Mailing Address - Country:US
Mailing Address - Phone:503-750-1290
Mailing Address - Fax:
Practice Address - Street 1:1320 SE 122ND AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97233-1203
Practice Address - Country:US
Practice Address - Phone:503-750-1290
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-05
Last Update Date:2019-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care