Provider Demographics
NPI:1396419834
Name:IN HOME CARE
Entity Type:Organization
Organization Name:IN HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LILLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-566-9225
Mailing Address - Street 1:PO BOX 591
Mailing Address - Street 2:
Mailing Address - City:HURTSBORO
Mailing Address - State:AL
Mailing Address - Zip Code:36860-0591
Mailing Address - Country:US
Mailing Address - Phone:334-667-6394
Mailing Address - Fax:
Practice Address - Street 1:597 SHADY GROVE RD
Practice Address - Street 2:
Practice Address - City:HURTSBORO
Practice Address - State:AL
Practice Address - Zip Code:36860-2815
Practice Address - Country:US
Practice Address - Phone:334-667-6394
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-08
Last Update Date:2021-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty