Provider Demographics
NPI:1417598418
Name:INTERNATIONAL ADVISERS AND CONSUTANTS LLC.
Entity Type:Organization
Organization Name:INTERNATIONAL ADVISERS AND CONSUTANTS LLC.
Other - Org Name:IACHEALTHCARESERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CNA
Authorized Official - Prefix:
Authorized Official - First Name:NANTUME
Authorized Official - Middle Name:
Authorized Official - Last Name:KABANDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-874-0156
Mailing Address - Street 1:8 LOCUST ST APT 1R
Mailing Address - Street 2:
Mailing Address - City:CARTERET
Mailing Address - State:NJ
Mailing Address - Zip Code:07008-2695
Mailing Address - Country:US
Mailing Address - Phone:732-874-0156
Mailing Address - Fax:
Practice Address - Street 1:681 MAIN ST STE 3-25
Practice Address - Street 2:
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02451-0621
Practice Address - Country:US
Practice Address - Phone:617-804-7588
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-01
Last Update Date:2020-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ10012019457229Medicaid
NJNONEOtherNONE
MA10012019457229Medicaid
GA10012019457229Medicaid