Provider Demographics
NPI:1063116440
Name:IN HOME RELATIONCARE
Entity type:Organization
Organization Name:IN HOME RELATIONCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:R
Authorized Official - Last Name:DEROSIER
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:941-580-0726
Mailing Address - Street 1:1736 31ST AVE E
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34208-4346
Mailing Address - Country:US
Mailing Address - Phone:941-580-0726
Mailing Address - Fax:
Practice Address - Street 1:1736 31ST AVE E
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34208-4346
Practice Address - Country:US
Practice Address - Phone:941-580-0726
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:IN HOME RELATIONCARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-03-29
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care