Provider Demographics
NPI:1215411848
Name:INCARE HOME CARE, LLC
Entity Type:Organization
Organization Name:INCARE HOME CARE, LLC
Other - Org Name:BY THE BAY HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:KELLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-526-5520
Mailing Address - Street 1:17 E SIR FRANCIS DRAKE BLVD
Mailing Address - Street 2:
Mailing Address - City:LARKSPUR
Mailing Address - State:CA
Mailing Address - Zip Code:94939-1727
Mailing Address - Country:US
Mailing Address - Phone:415-927-2273
Mailing Address - Fax:888-958-7460
Practice Address - Street 1:355 W NAPA ST STE A
Practice Address - Street 2:
Practice Address - City:SONOMA
Practice Address - State:CA
Practice Address - Zip Code:95476-6550
Practice Address - Country:US
Practice Address - Phone:707-935-5135
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-19
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health