Provider Demographics
NPI:1770028565
Name:IN HOME PROVIDER SERVICES
Entity type:Organization
Organization Name:IN HOME PROVIDER SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:OLIVIA
Authorized Official - Middle Name:O
Authorized Official - Last Name:SCHACHERL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-348-2013
Mailing Address - Street 1:PO BOX 306
Mailing Address - Street 2:515 S. BROADWAY ST.
Mailing Address - City:PREMONT
Mailing Address - State:TX
Mailing Address - Zip Code:78375-0306
Mailing Address - Country:US
Mailing Address - Phone:361-348-2013
Mailing Address - Fax:361-348-2014
Practice Address - Street 1:515 S. BROADWAY ST.
Practice Address - Street 2:
Practice Address - City:PREMONT
Practice Address - State:TX
Practice Address - Zip Code:78375-0306
Practice Address - Country:US
Practice Address - Phone:361-348-2013
Practice Address - Fax:361-348-2014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-03
Last Update Date:2017-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty