Provider Demographics
NPI:1124108329
Name:INHOME CARE, INC
Entity type:Organization
Organization Name:INHOME CARE, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:WATERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:432-570-4475
Mailing Address - Street 1:4200 AIRPORT FWY
Mailing Address - Street 2:#100
Mailing Address - City:FT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76117-6262
Mailing Address - Country:US
Mailing Address - Phone:432-570-4475
Mailing Address - Fax:432-686-3960
Practice Address - Street 1:4200 AIRPORT FWY
Practice Address - Street 2:#100
Practice Address - City:FT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76117-6262
Practice Address - Country:US
Practice Address - Phone:432-570-4475
Practice Address - Fax:432-686-3960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2015-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX679489Medicare Oscar/Certification