Provider Demographics
NPI:1184856411
Name:IVP SENIOR CARE, INC.
Entity Type:Organization
Organization Name:IVP SENIOR CARE, INC.
Other - Org Name:HOME INSTEAD SENIOR CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:LINA
Authorized Official - Middle Name:
Authorized Official - Last Name:FLORESCA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-401-0010
Mailing Address - Street 1:8520 FLORENCE AVE
Mailing Address - Street 2:SUITE E
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90240-4051
Mailing Address - Country:US
Mailing Address - Phone:562-401-0010
Mailing Address - Fax:562-401-0030
Practice Address - Street 1:8520 FLORENCE AVE
Practice Address - Street 2:SUITE E
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90240-4051
Practice Address - Country:US
Practice Address - Phone:562-401-0010
Practice Address - Fax:562-401-0030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-20
Last Update Date:2009-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA230100253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care