Provider Demographics
NPI:1073299574
Name:HOSPITAL IN YOUR HOME USA INC
Entity Type:Organization
Organization Name:HOSPITAL IN YOUR HOME USA INC
Other - Org Name:HOSPITAL IN YOUR HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:NOVELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:TASCOE
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:404-840-0747
Mailing Address - Street 1:3755 MAIN ST UNIT 101
Mailing Address - Street 2:
Mailing Address - City:COLLEGE PARK
Mailing Address - State:GA
Mailing Address - Zip Code:30337-3543
Mailing Address - Country:US
Mailing Address - Phone:844-960-4494
Mailing Address - Fax:877-716-7831
Practice Address - Street 1:3755 MAIN ST UNIT 101
Practice Address - Street 2:
Practice Address - City:COLLEGE PARK
Practice Address - State:GA
Practice Address - Zip Code:30337-3543
Practice Address - Country:US
Practice Address - Phone:844-690-4494
Practice Address - Fax:877-716-7831
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-27
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty