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NPI Code Detail

MEDICARE: IN HOME HEALTH LLC

MEDICARE: IN HOME HEALTH 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
1251G00000XCommunity Based Hospice Care Agency002479TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982633038
Entity Type Code : Organization
Provider Name (Legal Business Name) : IN HOME HEALTH LLC
Provider Business Mailing Address
First Line : 333 N SUMMIT ST
Second Line : ATTN DEAN SHIPMAN
City : TOLEDO
State : OH
Zip : 43604-2615
Country : US
Telephone Number : 419-254-7841
Fax Number : 419-252-6448
Provider Business Practice Location Address
First Line : 1845 PRECINCT LINE RD
Second Line : SUITE 107
City : HURST
State : TX
Zip : 76054-3109
Country : US
Telephone Number : 817-849-8880
Fax Number : 817-849-8884
Authorized Official
Title or Position : DIRECTOR
Name : MR. MARTIN D ALLEN
Credential :
Telephone Number : 419-252-5734
Provider Enumeration Date : 07/01/2006
Last Update Date : 05/10/2017

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Directions to “IN HOME HEALTH LLC ” Practice Location

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