Provider Demographics
NPI:1740054428
Name:BISHOP SENIOR CARE LLC DBA HOME INSTEAD
Entity type:Organization
Organization Name:BISHOP SENIOR CARE LLC DBA HOME INSTEAD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:BISHOP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-307-9534
Mailing Address - Street 1:105 SOUTHPOINTE DR STE B
Mailing Address - Street 2:
Mailing Address - City:EDWARDSVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62025-3651
Mailing Address - Country:US
Mailing Address - Phone:618-307-9534
Mailing Address - Fax:618-307-9526
Practice Address - Street 1:105 SOUTHPOINTE DR STE B
Practice Address - Street 2:
Practice Address - City:EDWARDSVILLE
Practice Address - State:IL
Practice Address - Zip Code:62025-3651
Practice Address - Country:US
Practice Address - Phone:618-307-9534
Practice Address - Fax:618-307-9526
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-13
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care