Provider Demographics
NPI:1215662796
Name:PROCARE NETWORK IN-HOME CARE SERVICES INC
Entity type:Organization
Organization Name:PROCARE NETWORK IN-HOME CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:IBRAHIM
Authorized Official - Middle Name:O
Authorized Official - Last Name:ADEKEYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-254-7164
Mailing Address - Street 1:500 E CARSON PLAZA DR STE 102
Mailing Address - Street 2:
Mailing Address - City:CARSON
Mailing Address - State:CA
Mailing Address - Zip Code:90746-3223
Mailing Address - Country:US
Mailing Address - Phone:424-329-0018
Mailing Address - Fax:
Practice Address - Street 1:500 E CARSON PLAZA DR STE 102
Practice Address - Street 2:
Practice Address - City:CARSON
Practice Address - State:CA
Practice Address - Zip Code:90746-3223
Practice Address - Country:US
Practice Address - Phone:424-329-0018
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-19
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health