1326202904 NPI number — IBOLIT HOME HEALTH, INC

Table of content: (NPI 1326202904)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326202904 NPI number — IBOLIT HOME HEALTH, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
IBOLIT HOME HEALTH, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1326202904
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/24/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
16461 SHERMAN WAY
Provider Second Line Business Mailing Address:
SUITE 225
Provider Business Mailing Address City Name:
VAN NUYS
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91406-3842
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
818-901-7770
Provider Business Mailing Address Fax Number:
818-901-7772

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
16461 SHERMAN WAY
Provider Second Line Business Practice Location Address:
SUITE 225
Provider Business Practice Location Address City Name:
VAN NUYS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91406-3842
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-901-7770
Provider Business Practice Location Address Fax Number:
818-901-7772
Provider Enumeration Date:
07/14/2008

Additional Information

Authorized Official

Authorized Official Last Name:
KASPAROV
Authorized Official First Name:
GEORGIY
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
818-557-7460

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  550001063 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: HHA09233F , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".




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