Provider Demographics
NPI:1679553069
Name:IPH HEALTH CARE SERVICES, INC.
Entity Type:Organization
Organization Name:IPH HEALTH CARE SERVICES, INC.
Other - Org Name:IPH HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROMAN
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:979-529-2500
Mailing Address - Street 1:190 ABNER JACKSON PKWY STE 210
Mailing Address - Street 2:
Mailing Address - City:LAKE JACKSON
Mailing Address - State:TX
Mailing Address - Zip Code:77566-5170
Mailing Address - Country:US
Mailing Address - Phone:979-529-2500
Mailing Address - Fax:979-848-2028
Practice Address - Street 1:190 ABNER JACKSON PKWY STE 210
Practice Address - Street 2:
Practice Address - City:LAKE JACKSON
Practice Address - State:TX
Practice Address - Zip Code:77566-5170
Practice Address - Country:US
Practice Address - Phone:979-529-2500
Practice Address - Fax:979-848-2028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-20
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0951303021Medicaid
TX0951303021Medicaid