Provider Demographics
NPI:1366455628
Name:INHOME CARE, INC
Entity Type:Organization
Organization Name:INHOME CARE, INC
Other - Org Name:INHOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT ,CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:EARL
Authorized Official - Last Name:WATERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:432-570-4475
Mailing Address - Street 1:808 W INDIANA AVE
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79701-6610
Mailing Address - Country:US
Mailing Address - Phone:432-570-4475
Mailing Address - Fax:432-686-3960
Practice Address - Street 1:808 W INDIANA AVE
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79701-6610
Practice Address - Country:US
Practice Address - Phone:432-570-4475
Practice Address - Fax:432-686-3960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-15
Last Update Date:2007-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX007641251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX458475Medicare Oscar/Certification