Provider Demographics
NPI:1326609744
Name:INCREDIBLE HOME CARE INC
Entity Type:Organization
Organization Name:INCREDIBLE HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ALTERNATE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PANADIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:SAMEDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-418-2221
Mailing Address - Street 1:1224 N KING ST
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19801-3232
Mailing Address - Country:US
Mailing Address - Phone:888-418-2221
Mailing Address - Fax:302-429-5806
Practice Address - Street 1:1224 N KING ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19801-3232
Practice Address - Country:US
Practice Address - Phone:888-418-2221
Practice Address - Fax:302-429-5806
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-26
Last Update Date:2019-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No253Z00000XAgenciesIn Home Supportive Care
No261QR0800XAmbulatory Health Care FacilitiesClinic/CenterRecovery Care
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child