MEDICARE: INTEGRAL HOME HEALTH SERVICES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency		FL

General Provider Information

NPI Number	:	1760675367
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTEGRAL HOME HEALTH SERVICES, INC.

Provider Business Mailing Address
First Line	:	7317 NW 36TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33166-6704
Country	:	US
Telephone Number	:	305-717-6805
Fax Number	:	305-717-3228

Provider Business Practice Location Address
First Line	:	7317 NW 36TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33166-6704
Country	:	US
Telephone Number	:	305-717-6805
Fax Number	:	305-717-3228

Authorized Official
Title or Position	:	PRESIDENT/OWNER/DIRECTOR OF NURSING
Name	:	NEOVES DIAZ
Credential	:	RN
Telephone Number	:	305-717-6805

Provider Enumeration Date	:	08/27/2007
Last Update Date	:	08/27/2007

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