Provider Demographics
NPI:1659855328
Name:IN HOME NURSING AND REHABILITATION LLC
Entity Type:Organization
Organization Name:IN HOME NURSING AND REHABILITATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:APOSTOLOS
Authorized Official - Middle Name:
Authorized Official - Last Name:KOUTOULAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-837-0323
Mailing Address - Street 1:356 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HAVERHILL
Mailing Address - State:MA
Mailing Address - Zip Code:01830-4008
Mailing Address - Country:US
Mailing Address - Phone:978-849-3142
Mailing Address - Fax:978-849-3143
Practice Address - Street 1:356 MAIN ST
Practice Address - Street 2:
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01830-4008
Practice Address - Country:US
Practice Address - Phone:978-849-3142
Practice Address - Fax:978-849-3143
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-19
Last Update Date:2018-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health