Provider Demographics
NPI:1215355102
Name:SOC IN HOME SERVICES LLC
Entity type:Organization
Organization Name:SOC IN HOME SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LASHONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:NORELAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-625-4215
Mailing Address - Street 1:1360 S 5TH ST STE 326B
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63301-2495
Mailing Address - Country:US
Mailing Address - Phone:314-338-5127
Mailing Address - Fax:
Practice Address - Street 1:1360 S 5TH ST STE 326B
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63301-2495
Practice Address - Country:US
Practice Address - Phone:314-338-5127
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-28
Last Update Date:2014-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care