Provider Demographics
NPI:1982834958
Name:IN HOME CARE & ASSISTANCE,LLC
Entity Type:Organization
Organization Name:IN HOME CARE & ASSISTANCE,LLC
Other - Org Name:RIGHT AT HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:HARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLOUGHBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-651-4848
Mailing Address - Street 1:920 MOUNT GILEAD RD
Mailing Address - Street 2:SUITE C2
Mailing Address - City:MURRELLS INLET
Mailing Address - State:SC
Mailing Address - Zip Code:29576-7791
Mailing Address - Country:US
Mailing Address - Phone:843-651-4848
Mailing Address - Fax:843-651-4868
Practice Address - Street 1:920 MOUNT GILEAD RD
Practice Address - Street 2:SUITE C2
Practice Address - City:MURRELLS INLET
Practice Address - State:SC
Practice Address - Zip Code:29576-7791
Practice Address - Country:US
Practice Address - Phone:843-651-4848
Practice Address - Fax:843-651-4868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-23
Last Update Date:2009-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCEX 0911Medicaid