Provider Demographics
NPI:1871652289
Name:IN HOME HEALTH, LLC
Entity Type:Organization
Organization Name:IN HOME HEALTH, LLC
Other - Org Name:HEARTLAND I.V. CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:D
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-252-5734
Mailing Address - Street 1:750 HOLIDAY DR STE 100
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15220-2783
Mailing Address - Country:US
Mailing Address - Phone:866-227-0812
Mailing Address - Fax:800-381-4329
Practice Address - Street 1:333 N. SUMMIT ST
Practice Address - Street 2:16TH FLOOR; LICENSURE & CERTIFICATION
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43604-2615
Practice Address - Country:US
Practice Address - Phone:419-252-5518
Practice Address - Fax:877-385-9446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-08
Last Update Date:2016-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP4811853336H0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA008513180Medicaid
PA1006808760018Medicaid
OH0109337Medicaid
OH0109337Medicaid