Evansville in Homecare, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

17-014108-1 Issued in IN

Legal business name

EVANSVILLE IN HOMECARE, LLC

Practice address

123 NW 4TH St Ste 312
Evansville, IN 47708

Phone

(812) 213-6882

NPI assigned

Sep 22, 2017

Last updated

Jul 11, 2018By 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

Mr. James McKim

Title

Owner

Phone

(812) 213-6882

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1506038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531267200000",
    "number": "1558870550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 NW 4TH ST STE 312",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477081712",
            "telephone_number": "812-213-6882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 NW 4TH ST STE 312",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "47708",
            "telephone_number": "812-213-6882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANSVILLE IN HOMECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-22",
        "last_updated": "2018-07-11",
        "status": "A",
        "authorized_official_last_name": "MCKIM",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-213-6882",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IN",
            "license": "17-014108-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Evansville, IN
• Providers in Evansville, IN by specialty
• In Home Supportive Care Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; 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.