Provider Demographics
NPI:1770221806
Name:I & S HOME HEALTH AGENCY, INC.
Entity Type:Organization
Organization Name:I & S HOME HEALTH AGENCY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO / ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDREU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-551-2901
Mailing Address - Street 1:11180 W FLAGLER ST STE 15
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-1252
Mailing Address - Country:US
Mailing Address - Phone:305-215-4488
Mailing Address - Fax:305-551-2902
Practice Address - Street 1:11180 W FLAGLER ST STE 15
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-1252
Practice Address - Country:US
Practice Address - Phone:305-215-4488
Practice Address - Fax:305-551-2902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-27
Last Update Date:2022-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health