Provider Demographics
NPI:1538508791
Name:IR REHAB HOME HEALTH, INC.
Entity Type:Organization
Organization Name:IR REHAB HOME HEALTH, INC.
Other - Org Name:ARIAS HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR / DPCS
Authorized Official - Prefix:MS
Authorized Official - First Name:IRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:RILEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:916-913-1134
Mailing Address - Street 1:2250 DOUGLAS BLVD STE 140
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661-4204
Mailing Address - Country:US
Mailing Address - Phone:916-913-1134
Mailing Address - Fax:916-993-9122
Practice Address - Street 1:2250 DOUGLAS BLVD STE 140
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-4204
Practice Address - Country:US
Practice Address - Phone:916-913-1134
Practice Address - Fax:916-993-9122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-21
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health