Provider Demographics
NPI:1619177862
Name:IN-HOUSE HEALTHCARE, INC.
Entity Type:Organization
Organization Name:IN-HOUSE HEALTHCARE, INC.
Other - Org Name:COMFORCARE SENIOR SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DUBNICKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-914-0334
Mailing Address - Street 1:33200 BAINBRIDGE RD
Mailing Address - Street 2:SUITE E
Mailing Address - City:SOLON
Mailing Address - State:OH
Mailing Address - Zip Code:44139
Mailing Address - Country:US
Mailing Address - Phone:440-914-0334
Mailing Address - Fax:440-914-0338
Practice Address - Street 1:33200 BAINBRIDGE RD
Practice Address - Street 2:SUITE E
Practice Address - City:SOLON
Practice Address - State:OH
Practice Address - Zip Code:44139
Practice Address - Country:US
Practice Address - Phone:440-914-0334
Practice Address - Fax:440-914-0338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-24
Last Update Date:2011-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH171767737Medicaid