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Organization
INTEGRATED HOMECARE SERVICES, INC.
Active
Organization
INTEGRATED HOMECARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK T HATCH (PRESIDENT)
(815) 227-0202
Entity
Organization
Contact information
Practice address
5027 HARRISON AVE, ROCKFORD, IL 61108-8010
(815) 227-0202
(815) 227-9807
Mailing address
5027 HARRISON AVE, ROCKFORD, IL 61108-8010
(815) 227-0202
(866) 511-5752
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
203.000617
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0212820001
MEDICARE PTAN NUMBER
IL
Enumeration date
08/30/2006
Last updated
04/24/2023
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