Iha Health Services Corporation

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

IHA HEALTH SERVICES CORPORATION

Doing business as

IHA Assocaites in Podiatry

Practice address

19000 St Joes Pkwy Ste 410
Livonia, MI 48152-1477

Phone

(734) 572-1141

Fax

(734) 572-1142

NPI assigned

Aug 17, 2020

Organization subpart

Yes

Parent organization

IHA HEALTH SERVICES CORPORATIONAs reported in NPPES

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

Authorized official

Name

Cynthia A Elliott

Title

Chief Operating Officer

Phone

(734) 327-0872

Specialties & licenses 1

Addresses

Other names 1

• IHA Assocaites in Podiatry Doing business as

Part of

Iha Health Corporation

Locations

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637280000000",
    "number": "1699386227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 FRANK LLOYD WRIGHT DR STE J2000",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059484",
            "telephone_number": "734-747-6766",
            "fax_number": "734-222-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19000 ST JOES PKWY STE 410",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521477",
            "telephone_number": "734-572-1141",
            "fax_number": "734-572-1142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IHA HEALTH SERVICES CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IHA HEALTH SERVICES CORPORATION",
        "enumeration_date": "2020-08-17",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "734-327-0872"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IHA Assocaites in Podiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Francesco S Iaquinta Jr.
• Greta Ibarra-Leonard, BEHAVIOR TECHNICIAN
• Gary Allen Ibershoff, PT
• Jessica Christine Ignagni, BSN, MSN
• Iha Health Service Corporation (IHA Livonia Pediatrics)
• Iha Olma Primary Care Risk LLC (IHA Livonia Primary Care)
• Iha Olma Primary Care Risk LLC (IHA Northwest Livonia Primary Care)
• Iha Olma Primary Care Risk LLC (IHA Southeast Livonia Primary Care)
• Iha Olma Primary Non Risk LLC (St. Mary Mercy Center for Family Care)
• Iha Olma Primary Non Risk LLC (Trinity Health IHA Medical Group Primary Care - Freedom)

• Durable Medical Equipment & Medical Supplies in Livonia, MI
• Providers in Livonia, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; 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.