In-Home Healthcare Services, Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

IN-HOME HEALTHCARE SERVICES, INC

Practice address

1710 S Fraser Street
Georgetown, SC 29440-3910

Phone

(843) 527-2752

Fax

(843) 545-9854

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

Patrick T Ethridge

Title

VP

Phone

(843) 527-2752

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Home Aide Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579564800000",
    "number": "1679631287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 398",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294420398",
            "telephone_number": "843-527-2752",
            "fax_number": "843-545-9854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 S FRASER STREET",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294403910",
            "telephone_number": "843-527-2752",
            "fax_number": "843-545-9854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN-HOME HEALTHCARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A",
        "authorized_official_last_name": "ETHRIDGE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "843-527-2752"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VETERANS AFFAIR",
            "identifier": "12115",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EX0334",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE1713",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@homeaidesc.com",
            "affiliation": "N",
            "address_1": "1710 S Fraser Street",
            "city": "Georgetown",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294403910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Home Aide",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Home Aide",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Georgetown, SC
• Providers in Georgetown, SC by specialty
• In Home Supportive Care Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2020; 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.