Provider Demographics
NPI:1225498942
Name:IHOME REHAB,LLC
Entity Type:Organization
Organization Name:IHOME REHAB,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER OF LLC/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SHIMON
Authorized Official - Middle Name:
Authorized Official - Last Name:ALAYEV
Authorized Official - Suffix:
Authorized Official - Credentials:DME COMPANY
Authorized Official - Phone:212-603-9299
Mailing Address - Street 1:107 JERICHO TPKE
Mailing Address - Street 2:
Mailing Address - City:FLORAL PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11001-2023
Mailing Address - Country:US
Mailing Address - Phone:212-603-9299
Mailing Address - Fax:212-603-9921
Practice Address - Street 1:344 JERICHO TPKE
Practice Address - Street 2:
Practice Address - City:FLORAL PARK
Practice Address - State:NY
Practice Address - Zip Code:11001-2173
Practice Address - Country:US
Practice Address - Phone:212-603-9299
Practice Address - Fax:212-603-9921
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-24
Last Update Date:2016-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2022075-DCA332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies