MEDICARE: IN-HOME HEALTH CARE SERVICES INCORPORATED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1124123971
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IN-HOME HEALTH CARE SERVICES INCORPORATED

Provider Business Mailing Address
First Line	:	3229 LOGAN VALLEY RD
Second Line	:
City	:	TRAVERSE CITY
State	:	MI
Zip	:	49684-4772
Country	:	US
Telephone Number	:	231-941-4005
Fax Number	:

Provider Business Practice Location Address
First Line	:	3229 LOGAN VALLEY RD
Second Line	:
City	:	TRAVERSE CITY
State	:	MI
Zip	:	49684-4772
Country	:	US
Telephone Number	:	231-941-4005
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. ANGELA AYERS
Credential	:
Telephone Number	:	231-941-4005

Provider Enumeration Date	:	09/14/2006
Last Update Date	:	08/22/2020

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