Provider Demographics
NPI:1962643718
Name:IN HOME HEALTHCARE, INC.
Entity Type:Organization
Organization Name:IN HOME HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOAQUIN
Authorized Official - Middle Name:C
Authorized Official - Last Name:GABALDON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:909-399-0088
Mailing Address - Street 1:4701 BROOKS ST
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:CA
Mailing Address - Zip Code:91763-4725
Mailing Address - Country:US
Mailing Address - Phone:909-399-0088
Mailing Address - Fax:909-399-0633
Practice Address - Street 1:4701 BROOKS ST
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:CA
Practice Address - Zip Code:91763-4725
Practice Address - Country:US
Practice Address - Phone:909-399-0088
Practice Address - Fax:909-399-0633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-08
Last Update Date:2009-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550000451251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health