Provider Demographics
NPI:1487042180
Name:IN HOUSE SUPPORTS COORDINATION AGENCY
Entity Type:Organization
Organization Name:IN HOUSE SUPPORTS COORDINATION AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:HIMANSHU
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MBBS
Authorized Official - Phone:267-416-0071
Mailing Address - Street 1:2 HIGHLANDS DRIVE
Mailing Address - Street 2:
Mailing Address - City:CHAIFONT
Mailing Address - State:PA
Mailing Address - Zip Code:18914-2226
Mailing Address - Country:US
Mailing Address - Phone:267-416-0071
Mailing Address - Fax:267-477-1864
Practice Address - Street 1:2 HIGHLANDS DRIVE
Practice Address - Street 2:
Practice Address - City:CHAIFONT
Practice Address - State:PA
Practice Address - Zip Code:18914-2226
Practice Address - Country:US
Practice Address - Phone:267-416-0071
Practice Address - Fax:267-477-1864
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PREMSHANTI MEDICAL SERVICES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-01-03
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2278H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedHome HealthGroup - Multi-Specialty