Integrated Homecare Services, Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

125-48 Issued in WI

Legal business name

INTEGRATED HOMECARE SERVICES, INC.

Practice address

2020 Sutler Ave
Beloit, WI 53511-6918

Phone

(608) 313-0800

Fax

(608) 312-2552

NPI assigned

Jan 3, 2018

Organization subpart

Yes

Parent organization

INTEGRATED HOMECARE SERVICES, INC.As reported in NPPES

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

Authorized official

Name

Mark Hatch

Title

President

Phone

(815) 227-0202

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Integrated Homecare Services, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Rockford, IL
  • NPI 1396855821

  3678690930

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Rockford Oxygen Inc3 organizations share this tax ID, including this one

Part of

Rockford Oxygen Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Integrated Homecare Services

  • Oxygen Equipment & Supplies (DME)
  • Rockford, IL
  • NPI 1639292824
  NPD tax ID
• Integrated Homecare Services, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Rockford, IL
  • NPI 1396855821
  NPD tax ID

Locations

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

{
    "created_epoch": "1514937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682294400000",
    "number": "1699282475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5027 HARRISON AVE",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611088010",
            "telephone_number": "815-227-0202",
            "fax_number": "866-511-5752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 SUTLER AVE",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535116918",
            "telephone_number": "608-313-0800",
            "fax_number": "608-312-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED HOMECARE SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTEGRATED HOMECARE SERVICES, INC.",
        "enumeration_date": "2018-01-03",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A",
        "authorized_official_last_name": "HATCH",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-227-0202"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor, Home Modifications",
            "state": "WI",
            "license": "125-48",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "WI",
            "license": "125-48",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Hughes, NP
• Roger E Huizenga, MD
• Debora Lea Humphrey
• Jonee Michelle Ingram
• Integrated Health Services, LLC
• Javaid Iqbal, M.D.
• Amanda Isunza, M.S.W
• Mark R Jacobs, RPH
• Stepfanie Avery Janisch, REGISTERED NURSE
• Javon Bea Hospital

• Oxygen Equipment & Supplies (DME) in Beloit, WI
• Providers in Beloit, WI by specialty
• Oxygen Equipment & Supplies (DME) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.