Provider Demographics
NPI:1477625234
Name:INTEGRATED HOME HEALTHCARE SERVICES, CORP
Entity Type:Organization
Organization Name:INTEGRATED HOME HEALTHCARE SERVICES, CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ROWENA
Authorized Official - Middle Name:J
Authorized Official - Last Name:OLIVA
Authorized Official - Suffix:
Authorized Official - Credentials:APN-CNP
Authorized Official - Phone:847-549-0588
Mailing Address - Street 1:151 W GOLF RD
Mailing Address - Street 2:
Mailing Address - City:LIBERTYVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60048-3213
Mailing Address - Country:US
Mailing Address - Phone:847-549-0588
Mailing Address - Fax:847-549-0611
Practice Address - Street 1:151 W GOLF RD STE 280
Practice Address - Street 2:
Practice Address - City:LIBERTYVILLE
Practice Address - State:IL
Practice Address - Zip Code:60048-3213
Practice Address - Country:US
Practice Address - Phone:847-549-0588
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1010582251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health