Integrated Health Associates LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

INTEGRATED HEALTH ASSOCIATES LLC

Practice address

8020 Bradley Blvd
Bethesda, MD 20817-1908

Phone

(301) 580-6027

NPI assigned

Mar 25, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Ilyas HamidzaiNPI 1073367280

Title

Administrator

Phone

(301) 580-6027

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ilyas Hamidzai

  • Home Health Aide
  • Bethesda, MD
  • NPI 1073367280
  NPD Authorized official
• Anita Rodrigues, RN

  • Registered Nurse
  • Bethesda, MD
  • NPI 1760216808
  NPD

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1508616442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8020 BRADLEY BLVD",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171908",
            "telephone_number": "301-580-6027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8020 BRADLEY BLVD",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171908",
            "telephone_number": "301-580-6027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED HEALTH ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "HAMIDZAI",
        "authorized_official_first_name": "ILYAS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "301-580-6027",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD RESIDENTIAL SERVICE AGENCY LICENSE",
            "identifier": "RSA-02118",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.