Provider Demographics
NPI:1104854264
Name:IN HOME HEALTHCARE L.L.C
Entity Type:Organization
Organization Name:IN HOME HEALTHCARE L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:RIDGWAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-257-3366
Mailing Address - Street 1:12337 JONES RD
Mailing Address - Street 2:SUITE 242
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-4800
Mailing Address - Country:US
Mailing Address - Phone:281-257-3366
Mailing Address - Fax:281-257-3369
Practice Address - Street 1:12337 JONES RD
Practice Address - Street 2:SUITE 242
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-4800
Practice Address - Country:US
Practice Address - Phone:281-257-3366
Practice Address - Fax:281-257-3369
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-29
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010345251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
679610Medicare ID - Type Unspecified