Provider Demographics
NPI:1205855640
Name:IN HOME CARE
Entity Type:Organization
Organization Name:IN HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY CORP
Authorized Official - Prefix:
Authorized Official - First Name:YVONNE
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITAKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:276-329-9340
Mailing Address - Street 1:201 NOTTINGHAM AVE
Mailing Address - Street 2:
Mailing Address - City:WISE
Mailing Address - State:VA
Mailing Address - Zip Code:24293-5612
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:201 NOTTINGHAM AVE
Practice Address - Street 2:
Practice Address - City:WISE
Practice Address - State:VA
Practice Address - Zip Code:24293-5612
Practice Address - Country:US
Practice Address - Phone:276-329-9340
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2018-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No251J00000XAgenciesNursing CareGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite CareGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA4971051Medicaid
VA8751234Medicaid
VA9600019Medicaid
VA9600167Medicaid
VA8702101Medicaid
VA010015324Medicaid
VA8702861Medicaid
VA8740399Medicaid
VA8771758Medicaid
VA8701768Medicaid
VA8742049Medicaid
VA8743541Medicaid
VA8743584Medicaid
VA8771987Medicaid