In Home Care

Organization Active NPI Personal Care Attendant · Wise, VA

NPI 1205855640 · NPPES record last updated Feb 26, 2018

Key facts

NPI
1205855640
Entity type
Organization (NPI type 2)
Primary specialty
Personal Care Attendant 3747P1801X
Legal business name
IN HOME CARE
Practice address
201 Nottingham Ave
Wise, VA 24293-5612
Phone
(276) 329-9340
NPI assigned
Jul 18, 2006
Organization subpart
No

Authorized official

Name
Yvonne Whitaker
Title
Secretary Corp
Phone
(276) 329-9340

Corporate family (same tax ID) 5

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
In Home Care Inc (6 organizations share this tax ID)

Locations

185 Redwood Ave
Ste 102C
Pennington Gap, VA 24277
Phone (276) 546-3380

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator
Group: 193200000X MULTI-SPECIALTY GROUP
171M00000X
Nursing Care Agency 251J00000X
Personal Care Attendant
Group: 193200000X MULTI-SPECIALTY GROUP
3747P1801X Yes
Respite Care 385H00000X

Addresses

Primary practice location

201 Nottingham Ave
Wise, VA 24293-5612

Mailing address

201 Nottingham Ave
Wise, VA 24293-5612

Other identifiers

IdentifierTypeStateIssuer
4971051MedicaidVA
8751234MedicaidVA
9600019MedicaidVA
9600167MedicaidVA
8702101MedicaidVA
010015324MedicaidVA
8702861MedicaidVA
8740399MedicaidVA
8771758MedicaidVA
8701768MedicaidVA
8742049MedicaidVA
8743541MedicaidVA
8743584MedicaidVA
8771987MedicaidVA

Other providers in Wise, VA

All providers in Wise, VA · Personal Care Attendant in Virginia

Sources for this page

Verify at the official NPI Registry.