Healthcare Provider Details

I. General information

NPI: 1780874347
Provider Name (Legal Business Name): IN- HOME CARE PLUS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2007
Last Update Date: 08/06/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5425 ELVIS PRESLEY BLVD SUITE B
MEMPHIS TN
38116-8237
US

IV. Provider business mailing address

5425 ELVIS PRESLEY BLVD SUITE B
MEMPHIS TN
38116-8237
US

V. Phone/Fax

Practice location:
  • Phone: 901-398-2120
  • Fax:
Mailing address:
  • Phone: 901-398-2120
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: RICHARD MICHAEL NOBLES
Title or Position: ADMINISTRATOR
Credential:
Phone: 901-331-3091