Provider Demographics
NPI:1689741365
Name:INHOME CARE ,INC
Entity Type:Organization
Organization Name:INHOME CARE ,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:EARL
Authorized Official - Last Name:WATERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:432-570-4475
Mailing Address - Street 1:6090 SURETY DR
Mailing Address - Street 2:402
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79905-2061
Mailing Address - Country:US
Mailing Address - Phone:915-591-0056
Mailing Address - Fax:915-591-1873
Practice Address - Street 1:6090 SURETY DR
Practice Address - Street 2:402
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79905-2061
Practice Address - Country:US
Practice Address - Phone:915-591-0056
Practice Address - Fax:915-591-1873
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2007-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX007904251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX679359Medicare Oscar/Certification