Provider Demographics
NPI:1619505823
Name:IMPECCABLE HEALTHCARE SERVICES, INC
Entity Type:Organization
Organization Name:IMPECCABLE HEALTHCARE SERVICES, INC
Other - Org Name:IMPECCABLE REHAB AND MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:RANTI
Authorized Official - Middle Name:OLUBUKOLA
Authorized Official - Last Name:OKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-323-5124
Mailing Address - Street 1:13209 AILESBURY CT
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-6100
Mailing Address - Country:US
Mailing Address - Phone:301-323-5124
Mailing Address - Fax:
Practice Address - Street 1:13209 AILESBURY CT
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20772-6100
Practice Address - Country:US
Practice Address - Phone:301-323-5124
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-01
Last Update Date:2024-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No251V00000XAgenciesVoluntary or Charitable
No251X00000XAgenciesSupports Brokerage
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No385H00000XRespite Care FacilityRespite Care