Healthcare Provider Details

I. General information

NPI: 1366185001
Provider Name (Legal Business Name): INHOME CONNECT OF SOUTHWEST INDIANA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2022
Last Update Date: 08/07/2025
Certification Date: 08/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 E WALNUT ST STE A
EVANSVILLE IN
47713-2460
US

IV. Provider business mailing address

7240 CHASE OAKS BLVD
PLANO TX
75025-5901
US

V. Phone/Fax

Practice location:
  • Phone: 844-999-9019
  • Fax: 888-736-6686
Mailing address:
  • Phone: 972-517-6300
  • Fax: 972-517-6310

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: KELLY MITCHELL
Title or Position: MANAGER
Credential:
Phone: 972-517-6300