Provider Demographics
NPI:1437144086
Name:SELECT IN HOME SERVICES, INC.
Entity Type:Organization
Organization Name:SELECT IN HOME SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:I
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:LSW
Authorized Official - Phone:304-636-4390
Mailing Address - Street 1:501 DAVIS AVE
Mailing Address - Street 2:
Mailing Address - City:ELKINS
Mailing Address - State:WV
Mailing Address - Zip Code:26241-3850
Mailing Address - Country:US
Mailing Address - Phone:304-636-4390
Mailing Address - Fax:304-636-4758
Practice Address - Street 1:501 DAVIS AVE
Practice Address - Street 2:
Practice Address - City:ELKINS
Practice Address - State:WV
Practice Address - Zip Code:26241-3850
Practice Address - Country:US
Practice Address - Phone:304-636-4390
Practice Address - Fax:304-636-4758
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV2805010000Medicaid