Provider Demographics
NPI:1144970427
Name:IN GOOD HANDS HOME CARE SERVICE
Entity type:Organization
Organization Name:IN GOOD HANDS HOME CARE SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALICE
Authorized Official - Middle Name:CARLISLE
Authorized Official - Last Name:STROUD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-997-8888
Mailing Address - Street 1:2509 PEACHTREE ST
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27107-3419
Mailing Address - Country:US
Mailing Address - Phone:336-997-8888
Mailing Address - Fax:
Practice Address - Street 1:500 W. 5TH STREET
Practice Address - Street 2:SUITE 800
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27101-0001
Practice Address - Country:US
Practice Address - Phone:336-997-8888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-28
Last Update Date:2022-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care