Provider Demographics
NPI:1679687099
Name:IPH HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:IPH HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MARIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-971-0224
Mailing Address - Street 1:1300 N 10TH ST STE 210
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-4392
Mailing Address - Country:US
Mailing Address - Phone:956-971-0224
Mailing Address - Fax:956-971-0298
Practice Address - Street 1:1300 N 10TH ST STE 210
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-4392
Practice Address - Country:US
Practice Address - Phone:956-971-0224
Practice Address - Fax:956-971-0298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-19
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX002876251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX002876Medicare ID - Type UnspecifiedLICENSED AND CERTIFIED
TX458032Medicare Oscar/Certification