MEDICARE: IN-HOME CAREGIVERS, LLC

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	:	1265098016
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IN-HOME CAREGIVERS, LLC

Provider Business Mailing Address
First Line	:	100 LILLIAN GISH BLVD SW STE 203
Second Line	:
City	:	MASSILLON
State	:	OH
Zip	:	44647-6500
Country	:	US
Telephone Number	:	330-809-6444
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 LILLIAN GISH BLVD SW STE 203
Second Line	:
City	:	MASSILLON
State	:	OH
Zip	:	44647-6500
Country	:	US
Telephone Number	:	330-809-6444
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DIANA ENGELHARDT
Credential	:
Telephone Number	:	330-809-6444

Provider Enumeration Date	:	05/17/2019
Last Update Date	:	05/17/2019

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Directions to “IN-HOME CAREGIVERS, LLC ” Practice Location

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