Provider Demographics
NPI:1417187782
Name:IN HOME SERVICES LLC
Entity Type:Organization
Organization Name:IN HOME SERVICES LLC
Other - Org Name:COMFORT KEEPERS 646
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:SIMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-897-5161
Mailing Address - Street 1:2247 18TH AVE
Mailing Address - Street 2:
Mailing Address - City:KINGSBURG
Mailing Address - State:CA
Mailing Address - Zip Code:93631-1656
Mailing Address - Country:US
Mailing Address - Phone:559-897-5161
Mailing Address - Fax:559-897-5313
Practice Address - Street 1:2247 18TH AVE
Practice Address - Street 2:
Practice Address - City:KINGSBURG
Practice Address - State:CA
Practice Address - Zip Code:93631-1656
Practice Address - Country:US
Practice Address - Phone:559-897-5161
Practice Address - Fax:559-897-5313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-21
Last Update Date:2009-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care