Provider Demographics
NPI:1285393470
Name:IN HOME CARE LLC
Entity type:Organization
Organization Name:IN HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JACOB
Authorized Official - Middle Name:
Authorized Official - Last Name:CLOPTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-775-0245
Mailing Address - Street 1:1200 N ASHLAND AVE STE 502
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60622-8311
Mailing Address - Country:US
Mailing Address - Phone:312-775-0245
Mailing Address - Fax:
Practice Address - Street 1:1200 N ASHLAND AVE STE 502
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60622-8311
Practice Address - Country:US
Practice Address - Phone:312-775-0245
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-15
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care