Provider Demographics
NPI:1427855758
Name:IN HOME CARE, INC.
Entity type:Organization
Organization Name:IN HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:276-328-9340
Mailing Address - Street 1:201 NOTTINGHAM AVE
Mailing Address - Street 2:
Mailing Address - City:WISE
Mailing Address - State:VA
Mailing Address - Zip Code:24293-5612
Mailing Address - Country:US
Mailing Address - Phone:276-328-9340
Mailing Address - Fax:276-328-9343
Practice Address - Street 1:5057 DICKENSON HWY
Practice Address - Street 2:
Practice Address - City:CLINTWOOD
Practice Address - State:VA
Practice Address - Zip Code:24228-6078
Practice Address - Country:US
Practice Address - Phone:276-365-6079
Practice Address - Fax:276-226-4872
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:IN HOME CARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies