NPIMap

In Home Care, Inc.

Organization Active NPI Durable Medical Equipment & Medical Supplies · Wise, VA

NPI 1285660993 · NPPES record last updated Jun 11, 2012

Key facts

NPI
1285660993
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
License
0206008422 (VA)
Legal business name
IN HOME CARE, INC.
Practice address
201 Nottingham Ave
Wise, VA 24293-5612
Phone
(276) 328-9340
Fax
(276) 328-0947
NPI assigned
Jun 24, 2006
Organization subpart
No

Authorized official

Name
Yvonne Whitaker
Title
Secretary
Phone
(276) 328-9340

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 5

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

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
In Home Care Inc
201 Nottingham Ave, Wise, VA 24293-5612 · (276) 328-9340		 Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|External Infusion Pumps and/or Supplies|Negative Pressure Wound Therapy Pumps/Supplies|Support Surfaces: Pressure Reducing Beds/Mats/Pads|(TENS) Transcutaneous… Does not accept assignment
Participating since Jan 1, 2001

Medicare participation

Medicare fee-for-service enrollment
Enrolled in VA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20100930027717 VA DME Supplier - Medical Supply Company
DME Supplier - Oxygen & Equipment		 9830219138 Practice locations: Wise, VA

National Provider Directory

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

Locations

201 Nottingham Ave
Wise, VA 24293
Phone (276) 328-9340

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0206008422 VA Yes

Addresses

Primary practice location

201 Nottingham Ave
Wise, VA 24293-5612

Mailing address

201 Nottingham Ave
Wise, VA 24293-5612
Phone (276) 328-9340

Other identifiers

IdentifierTypeStateIssuer
1503369OtherVAUMWA
393073OtherVABLUE CROSS
009100989MedicaidVA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 11, 2012.

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339372800000",
    "number": "1285660993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 NOTTINGHAM AVE",
            "city": "WISE",
            "state": "VA",
            "postal_code": "242935612",
            "telephone_number": "276-328-9340",
            "fax_number": "276-328-0947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 NOTTINGHAM AVE",
            "city": "WISE",
            "state": "VA",
            "postal_code": "242935612",
            "telephone_number": "276-328-9340",
            "fax_number": "276-328-0947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2012-06-11",
        "status": "A",
        "authorized_official_last_name": "WHITAKER",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "276-328-9340"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": "0206008422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "1503369",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "393073",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009100989",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wise, VA

All providers in Wise, VA · Durable Medical Equipment & Medical Supplies in Virginia

Sources for this page

Verify at the official NPI Registry.