Provider Demographics
NPI:1801917604
Name:INTERNATIONAL HOME HEALTHCARE, INC.
Entity type:Organization
Organization Name:INTERNATIONAL HOME HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DPCS/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:HYUNSIL
Authorized Official - Middle Name:
Authorized Official - Last Name:JUNG
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:213-384-6731
Mailing Address - Street 1:3660 WILSHIRE BLVD
Mailing Address - Street 2:SUITE 842
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90010-2756
Mailing Address - Country:US
Mailing Address - Phone:213-384-6731
Mailing Address - Fax:213-384-8795
Practice Address - Street 1:2626 FOOTHILL BLVD STE 101
Practice Address - Street 2:
Practice Address - City:LA CRESCENTA
Practice Address - State:CA
Practice Address - Zip Code:91214-3574
Practice Address - Country:US
Practice Address - Phone:213-384-6731
Practice Address - Fax:213-384-8795
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA980001541251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA058250Medicare Oscar/Certification