Provider Demographics
NPI:1780286922
Name:INCLUSIVE HOMECARE PROVIDER SERVICES
Entity type:Organization
Organization Name:INCLUSIVE HOMECARE PROVIDER SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:DANTE
Authorized Official - Last Name:HIGGINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-830-3816
Mailing Address - Street 1:452 KINGS RUN DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45232-1407
Mailing Address - Country:US
Mailing Address - Phone:786-830-3816
Mailing Address - Fax:
Practice Address - Street 1:452 KINGS RUN DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45232-1407
Practice Address - Country:US
Practice Address - Phone:786-830-3816
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-12
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No174200000XOther Service ProvidersMeals
No251B00000XAgenciesCase Management
No251K00000XAgenciesPublic Health or Welfare
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)