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 Amendment No. 1 to 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 date 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: April 6, 2006              By: /s/ Bruce Mogel
                                            ------------------------------------
                                            Bruce Mogel
                                            Chief Executive Officer