Provider Demographics
NPI:1760941504
Name:I & S HOME HEALTH SERVICES INC
Entity Type:Organization
Organization Name:I & S HOME HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:INGRID
Authorized Official - Middle Name:V
Authorized Official - Last Name:PERDOMO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-701-2610
Mailing Address - Street 1:13043 SW 195TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33177-4255
Mailing Address - Country:US
Mailing Address - Phone:786-701-2610
Mailing Address - Fax:
Practice Address - Street 1:13043 SW 195TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33177-4255
Practice Address - Country:US
Practice Address - Phone:786-701-2610
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-19
Last Update Date:2019-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities