Provider Demographics
NPI:1821359407
Name:IHEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:IHEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF CLINICAL OFFICER, OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:LAUER PFROMMER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, FNP-C, RN
Authorized Official - Phone:609-458-1070
Mailing Address - Street 1:480 S CHURCH ST
Mailing Address - Street 2:IHEALTH SERVICES, LLC
Mailing Address - City:MOORESTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08057-3217
Mailing Address - Country:US
Mailing Address - Phone:609-458-1070
Mailing Address - Fax:
Practice Address - Street 1:480 S CHURCH ST
Practice Address - Street 2:IHEALTH SERVICES, LLC
Practice Address - City:MOORESTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08057-3217
Practice Address - Country:US
Practice Address - Phone:609-458-1070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-31
Last Update Date:2012-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00162200253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1831358639Medicare UPIN