Provider Demographics
NPI:1730459249
Name:IN HOME CARE, GROUP, LLC
Entity Type:Organization
Organization Name:IN HOME CARE, GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BALRONIA
Authorized Official - Middle Name:P
Authorized Official - Last Name:SCHULTZ
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED
Authorized Official - Phone:408-841-1339
Mailing Address - Street 1:6830 VIA DEL ORO STE 106
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95119-1353
Mailing Address - Country:US
Mailing Address - Phone:408-841-1339
Mailing Address - Fax:
Practice Address - Street 1:171 IRIS BLOSSOM CT
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95123-2233
Practice Address - Country:US
Practice Address - Phone:408-841-1339
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-31
Last Update Date:2011-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health