Provider Demographics
NPI:1831367549
Name:HOME CARE NETWORK INC
Entity type:Organization
Organization Name:HOME CARE NETWORK INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:KIM
Authorized Official - Middle Name:S
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-435-1142
Mailing Address - Street 1:190A E SPRING VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45458-3803
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8150 CORPORATE PARK DR
Practice Address - Street 2:SUITE 216
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242-3312
Practice Address - Country:US
Practice Address - Phone:513-469-1271
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-15
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2716958Medicaid