Provider Demographics
NPI:1679864086
Name:INTEGRATED HEALTH CARE MANAGEMENT
Entity Type:Organization
Organization Name:INTEGRATED HEALTH CARE MANAGEMENT
Other - Org Name:HOPECARE AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:S
Authorized Official - Last Name:HIMELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:310-871-0156
Mailing Address - Street 1:36923 COOK ST
Mailing Address - Street 2:STE. 102
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92211-6073
Mailing Address - Country:US
Mailing Address - Phone:760-773-3899
Mailing Address - Fax:760-773-5030
Practice Address - Street 1:36923 COOK ST
Practice Address - Street 2:STE. 102
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92211-6073
Practice Address - Country:US
Practice Address - Phone:760-773-3899
Practice Address - Fax:760-773-5030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-20
Last Update Date:2011-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10-00051790253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care