Provider Demographics
NPI:1912314006
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 1:185 REDWOOD AVE STE C&D
Practice Address - Street 2:
Practice Address - City:PENNINGTON GAP
Practice Address - State:VA
Practice Address - Zip Code:24277-0018
Practice Address - Country:US
Practice Address - Phone:276-546-3380
Practice Address - Fax:276-546-3383
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-21
Last Update Date:2018-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health