Healthcare Provider Details

I. General information

NPI: 1558767822
Provider Name (Legal Business Name): HOME CARE NETWORK, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2014
Last Update Date: 09/05/2025
Certification Date: 09/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

731 E MAIN ST STE 18A
JACKSON OH
45640-2100
US

IV. Provider business mailing address

10552 SUCCESS LN STE M
DAYTON OH
45458-3653
US

V. Phone/Fax

Practice location:
  • Phone: 740-384-9616
  • Fax:
Mailing address:
  • Phone: 800-600-3974
  • Fax: 937-813-1105

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. KIM KING
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 937-409-7071