Provider Demographics
NPI:1548052368
Name:INTEGRATED PROVIDERS HOMECARE LLC
Entity type:Organization
Organization Name:INTEGRATED PROVIDERS HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LACHELLE
Authorized Official - Middle Name:R
Authorized Official - Last Name:LETTRICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-915-4630
Mailing Address - Street 1:236 3RD ST SW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44702-1607
Mailing Address - Country:US
Mailing Address - Phone:330-915-4630
Mailing Address - Fax:
Practice Address - Street 1:236 3RD ST SW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44702-1607
Practice Address - Country:US
Practice Address - Phone:330-915-4630
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health