Provider Demographics
NPI:1275122285
Name:IN HOME CARE
Entity Type:Organization
Organization Name:IN HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CNA
Authorized Official - Prefix:
Authorized Official - First Name:DIANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:217-775-2347
Mailing Address - Street 1:1525 E MOORE ST
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:IL
Mailing Address - Zip Code:62521-2942
Mailing Address - Country:US
Mailing Address - Phone:217-775-2347
Mailing Address - Fax:
Practice Address - Street 1:1525 E MOORE ST
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:IL
Practice Address - Zip Code:62521-2942
Practice Address - Country:US
Practice Address - Phone:217-775-2347
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-14
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILJ520-1606-7627OtherDRIVER LICENSE FOR DIANNE JONES NURSE ASSISTANT