Provider Demographics
NPI:1306284856
Name:INTEGRATED HEALTH ASSOCIATES LLC
Entity type:Organization
Organization Name:INTEGRATED HEALTH ASSOCIATES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SENIOR MANAGER OF ACCOUNTING
Authorized Official - Prefix:
Authorized Official - First Name:MERIANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:ESTACIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-630-5968
Mailing Address - Street 1:8401 CONNECTICUT AVE STE 1030
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-5844
Mailing Address - Country:US
Mailing Address - Phone:301-652-4344
Mailing Address - Fax:301-652-4757
Practice Address - Street 1:24 HIAWATHA LN
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-2401
Practice Address - Country:US
Practice Address - Phone:302-724-7902
Practice Address - Fax:855-631-4365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-06
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251B00000XAgenciesCase Management
No251F00000XAgenciesHome Infusion
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care