Provider Demographics
NPI:1669828299
Name:INTERGRATED HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:INTERGRATED HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:IBRAHIM
Authorized Official - Middle Name:
Authorized Official - Last Name:BALOGUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-903-5016
Mailing Address - Street 1:4708 CRENSHAW BLVD
Mailing Address - Street 2:SUITE 103-105
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90043-1236
Mailing Address - Country:US
Mailing Address - Phone:323-903-5016
Mailing Address - Fax:
Practice Address - Street 1:4708 CRENSHAW BLVD
Practice Address - Street 2:SUITE 103-105
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90043-1236
Practice Address - Country:US
Practice Address - Phone:323-903-5016
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-12
Last Update Date:2016-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health