Provider Demographics
NPI:1720794209
Name:INTEGRATED HOME CARE SERVICES, INC.
Entity Type:Organization
Organization Name:INTEGRATED HOME CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:JOY
Authorized Official - Last Name:MENDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:844-215-4264
Mailing Address - Street 1:3700 COMMERCE PARKWAY
Mailing Address - Street 2:SOUTH CAROLINA TPA DIVISION
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-3912
Mailing Address - Country:US
Mailing Address - Phone:844-215-4264
Mailing Address - Fax:844-215-4265
Practice Address - Street 1:3700 COMMERCE PARKWAY
Practice Address - Street 2:SOUTH CAROLINA TPA DIVISION
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33025-3912
Practice Address - Country:US
Practice Address - Phone:844-215-4264
Practice Address - Fax:844-215-4265
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INTEGRATED HOME CARE SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-01-27
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy