Provider Demographics
NPI:1700023355
Name:INTERNATIONAL ELDERLY CARE GROUP LLC
Entity Type:Organization
Organization Name:INTERNATIONAL ELDERLY CARE GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL COUNSEL
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:GEORGE
Authorized Official - Last Name:SHARIFF
Authorized Official - Suffix:
Authorized Official - Credentials:ESQ
Authorized Official - Phone:513-741-9800
Mailing Address - Street 1:3515 SPRINGDALE RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45251-1300
Mailing Address - Country:US
Mailing Address - Phone:513-741-9800
Mailing Address - Fax:
Practice Address - Street 1:7369 BROOKCREST DR STE B
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45237-3407
Practice Address - Country:US
Practice Address - Phone:513-293-6500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-18
Last Update Date:2010-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care