Provider Demographics
NPI:1760154314
Name:IMPERIAL HEALTH AND HOME CARE LLC
Entity Type:Organization
Organization Name:IMPERIAL HEALTH AND HOME CARE LLC
Other - Org Name:IMPERIAL HEALTH AND HOME CARE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:OKERE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-653-7710
Mailing Address - Street 1:616 CENTRE ST
Mailing Address - Street 2:
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02302-3305
Mailing Address - Country:US
Mailing Address - Phone:617-653-7710
Mailing Address - Fax:508-232-3460
Practice Address - Street 1:616 CENTRE ST
Practice Address - Street 2:
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02302-3305
Practice Address - Country:US
Practice Address - Phone:617-653-7710
Practice Address - Fax:508-232-3460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-01
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health