EXHIBIT 32.1

                             CERTIFICATE PURSUANT TO
                             18 U.S.C. SECTION 1350,
                             AS ADOPTED PURSUANT TO
                  SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

      In connection with the Quarterly Report of Integrated Healthcare Holdings,
Inc. (the  "Company") on Form 10-Q for the quarter ended  September 30, 2004, as
filed  with  the  Securities  and  Exchange   Commission  (the  "Report"),   the
undersigned,  in the capacity and on the dates indicated below, hereby certifies
pursuant to 18 U.S.C.  Section 1350,  as adopted  pursuant to Section 906 of the
Sarbanes-Oxley Act of 2002, that:

      1.    the Report fully complies with the  requirements of Section 13(a) or
            15(d), as applicable, of the Securities Exchange Act of 1934; and

      2.    the  information  contained in the Report  fairly  presents,  in all
            material respects,  the financial condition and result of operations
            of the Company at the dates and for the period indicated.

      This  Certificate has not been, and shall not be deemed,  "filed" with the
Securities and Exchange Commission.


      Dated: May 23, 2005               By: /s/ Bruce Mogel
                                            ------------------------------------
                                            Bruce Mogel
                                            Chief Executive Officer