Provider Demographics
NPI:1851709067
Name:INTERPRETING & APPLICATION SERVICES
Entity Type:Organization
Organization Name:INTERPRETING & APPLICATION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:IDELA
Authorized Official - Middle Name:T
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:CRC; CWIC
Authorized Official - Phone:239-206-5477
Mailing Address - Street 1:5405 TAYLOR RD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109-1883
Mailing Address - Country:US
Mailing Address - Phone:239-206-5477
Mailing Address - Fax:888-737-6907
Practice Address - Street 1:5405 TAYLOR RD
Practice Address - Street 2:SUITE 4
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109-1883
Practice Address - Country:US
Practice Address - Phone:239-206-5477
Practice Address - Fax:888-737-6907
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-31
Last Update Date:2014-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL233525253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL008423800Medicaid