International Health Care Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

330081 Issued in MN

Legal business name

INTERNATIONAL HEALTH CARE SERVICES

Practice address

5801 Duluth Street
Suite 310
Golden Valley, MN 55422

Phone

(763) 591-1959

Fax

(763) 591-0105

NPI assigned

Aug 18, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Irina Tobak

Title

Ceo President

Phone

(763) 591-1959

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504569600000",
    "number": "1104930221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 DULUTH STREET",
            "address_2": "SUITE 310",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "55422",
            "telephone_number": "763-591-1959",
            "fax_number": "763-591-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 DULUTH STREET",
            "address_2": "SUITE 310",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "55422",
            "telephone_number": "763-591-1959",
            "fax_number": "763-591-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNATIONAL HEALTH CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2017-09-05",
        "status": "A",
        "authorized_official_last_name": "TOBAK",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "763-591-1959",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "330081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "818045800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.