Provider Demographics
NPI:1427892249
Name:INTEGRATIVE HOME HEALTH SERVICES
Entity type:Organization
Organization Name:INTEGRATIVE HOME HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-CEO
Authorized Official - Prefix:
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHOVANEC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-760-8119
Mailing Address - Street 1:11 ALLENDALE DR
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56301-5138
Mailing Address - Country:US
Mailing Address - Phone:651-760-8119
Mailing Address - Fax:
Practice Address - Street 1:11 ALLENDALE DR
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56301-5138
Practice Address - Country:US
Practice Address - Phone:651-760-8119
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-25
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty