Provider Demographics
NPI:1467574327
Name:IN HOME AIDE CARE, INC.
Entity Type:Organization
Organization Name:IN HOME AIDE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCDANIEL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:252-745-3780
Mailing Address - Street 1:PO BOX 85
Mailing Address - Street 2:
Mailing Address - City:GRANTSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:28529-0085
Mailing Address - Country:US
Mailing Address - Phone:252-745-3780
Mailing Address - Fax:252-745-7025
Practice Address - Street 1:11146 NC HWY 55 E
Practice Address - Street 2:
Practice Address - City:GRANTSBORO
Practice Address - State:NC
Practice Address - Zip Code:28529-0085
Practice Address - Country:US
Practice Address - Phone:252-745-3780
Practice Address - Fax:252-745-7025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC1700376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6600592Medicaid
NC3409017Medicaid