In Home Care Services, LLC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

C20081560005 Issued in NC

Legal business name

IN HOME CARE SERVICES, LLC

Practice address

1415 W. Hwy 54
Suite 105
Durham, NC 27707-5577

Phone

(919) 357-0779

Fax

(919) 489-8531

NPI assigned

Jun 9, 2008

Last updated

Jun 21, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Alicia Juanita TurnerNPI 1285313700

Title

Owner/Director of Operations

Phone

(919) 357-0779

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

In Home Care Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• In Home Care Services, LLC

  • Community/Behavioral Health Agency
  • Union, SC
  • NPI 1427340546
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alicia Juanita Turner

  • Clinical Social Worker
  • Durham, NC
  • NPI 1285313700
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277078400000",
    "number": "1265692735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 W. HWY 54",
            "address_2": "SUITE 105",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277075577",
            "telephone_number": "919-357-0779",
            "fax_number": "919-489-8531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 W. HWY 54",
            "address_2": "SUITE 105",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277075577",
            "telephone_number": "919-357-0779",
            "fax_number": "919-489-8531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN HOME CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2010-06-21",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "JUANITA",
        "authorized_official_title_or_position": "OWNER/DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "919-357-0779",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NC",
            "license": "C20081560005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302401B",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6006896",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Exclusive Provider Organization in Durham, NC
• Providers in Durham, NC by specialty
• Exclusive Provider Organization in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.