Provider Demographics
NPI:1992249247
Name:IMI HOME HEALTH CARE LLC
Entity type:Organization
Organization Name:IMI HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:INEZ
Authorized Official - Middle Name:
Authorized Official - Last Name:ISLAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-785-5293
Mailing Address - Street 1:1039 PONDVIEW DR
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-6225
Mailing Address - Country:US
Mailing Address - Phone:972-849-2718
Mailing Address - Fax:
Practice Address - Street 1:1039 PONDVIEW DR
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-6225
Practice Address - Country:US
Practice Address - Phone:972-849-2718
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-06
Last Update Date:2016-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care