Provider Demographics
NPI:1588094205
Name:INTERGRATED HEALTHCARE CONSULTANTS,INC
Entity type:Organization
Organization Name:INTERGRATED HEALTHCARE CONSULTANTS,INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:VALENTINE
Authorized Official - Middle Name:NINTAI
Authorized Official - Last Name:NUNYI
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:240-461-3931
Mailing Address - Street 1:12921 VICAR WOODS LN
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20720-4784
Mailing Address - Country:US
Mailing Address - Phone:240-461-3931
Mailing Address - Fax:240-266-4321
Practice Address - Street 1:8701 W CHESTER PIKE
Practice Address - Street 2:
Practice Address - City:UPPER DARBY
Practice Address - State:PA
Practice Address - Zip Code:19082-1236
Practice Address - Country:US
Practice Address - Phone:484-454-3905
Practice Address - Fax:484-454-3907
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-15
Last Update Date:2014-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA251S00000X
PA05440501251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2089OtherHOME HEALTH AGENCY