Provider Demographics
NPI:1508431024
Name:INTEGRATED HOME CARE LLC
Entity Type:Organization
Organization Name:INTEGRATED HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:OKORIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-241-0898
Mailing Address - Street 1:15000 MANSIONS VIEW DR APT 2306
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77384-4351
Mailing Address - Country:US
Mailing Address - Phone:346-241-0898
Mailing Address - Fax:
Practice Address - Street 1:15000 MANSIONS VIEW DR APT 2306
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77384-4351
Practice Address - Country:US
Practice Address - Phone:346-241-0898
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-26
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care