Provider Demographics
NPI:1851628994
Name:IMMEDIATE CARE HOME HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:IMMEDIATE CARE HOME HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:HERMINE
Authorized Official - Middle Name:
Authorized Official - Last Name:KESHISHYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-640-8416
Mailing Address - Street 1:6845 INDIANA AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92506-4206
Mailing Address - Country:US
Mailing Address - Phone:951-251-0129
Mailing Address - Fax:951-801-5849
Practice Address - Street 1:6845 INDIANA AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92506-4206
Practice Address - Country:US
Practice Address - Phone:951-251-0129
Practice Address - Fax:951-801-5849
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-11
Last Update Date:2009-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health