Provider Demographics
NPI:1043473994
Name:INHOME CARE
Entity Type:Organization
Organization Name:INHOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:EARL
Authorized Official - Last Name:WATERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:432-570-4475
Mailing Address - Street 1:808 W INDIANA AVE
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79701-6610
Mailing Address - Country:US
Mailing Address - Phone:432-570-4475
Mailing Address - Fax:432-570-1303
Practice Address - Street 1:2806 34TH ST
Practice Address - Street 2:SUITE #7
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79410-3524
Practice Address - Country:US
Practice Address - Phone:806-785-7775
Practice Address - Fax:806-785-7778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-09
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX011631251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health