Provider Demographics
NPI:1891789616
Name:JOSEF INTEGRATED MANAGEMENT, INC.
Entity Type:Organization
Organization Name:JOSEF INTEGRATED MANAGEMENT, INC.
Other - Org Name:IMMACULATE HOME HEALTH PROVIDERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ANA MARIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:CASTRO
Authorized Official - Suffix:
Authorized Official - Credentials:MN
Authorized Official - Phone:562-806-7022
Mailing Address - Street 1:350 ARDEN AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91203-1110
Mailing Address - Country:US
Mailing Address - Phone:818-906-4466
Mailing Address - Fax:818-475-1328
Practice Address - Street 1:350 ARDEN AVE STE 103
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91203-1110
Practice Address - Country:US
Practice Address - Phone:818-906-4466
Practice Address - Fax:818-475-1328
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-07
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA980001435251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA058166Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER