Provider Demographics
NPI:1922285048
Name:INDEPENDENT HOME CARE INC
Entity Type:Organization
Organization Name:INDEPENDENT HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:PAVEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ELBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-266-3228
Mailing Address - Street 1:13899 BISCAYNE BLVD STE 145
Mailing Address - Street 2:
Mailing Address - City:N MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33181-1650
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:13899 BISCAYNE BLVD STE 145
Practice Address - Street 2:
Practice Address - City:N MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33181-1650
Practice Address - Country:US
Practice Address - Phone:305-702-6320
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-31
Last Update Date:2008-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health