Provider Demographics
NPI:1043208010
Name:HOME CARE NETWORK, INC.
Entity type:Organization
Organization Name:HOME CARE NETWORK, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-409-7071
Mailing Address - Street 1:10552 SUCCESS LN STE M
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45458-3653
Mailing Address - Country:US
Mailing Address - Phone:800-600-3974
Mailing Address - Fax:937-813-1105
Practice Address - Street 1:731 E MAIN ST STE 17D
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:OH
Practice Address - Zip Code:45640-2100
Practice Address - Country:US
Practice Address - Phone:800-600-3974
Practice Address - Fax:937-258-8711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-12
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2285914Medicaid
OH2285914Medicaid