Provider Demographics
NPI:1760675367
Name:INTEGRAL HOME HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:INTEGRAL HOME HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER/DIRECTOR OF NURSING
Authorized Official - Prefix:
Authorized Official - First Name:NEOVES
Authorized Official - Middle Name:
Authorized Official - Last Name:DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:305-717-6805
Mailing Address - Street 1:7317 NW 36TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33166-6704
Mailing Address - Country:US
Mailing Address - Phone:305-717-6805
Mailing Address - Fax:305-717-3228
Practice Address - Street 1:7317 NW 36TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33166-6704
Practice Address - Country:US
Practice Address - Phone:305-717-6805
Practice Address - Fax:305-717-3228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-27
Last Update Date:2007-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health