Provider Demographics
NPI:1548435068
Name:IN HIS HANDS HOME HEALTH,INC
Entity type:Organization
Organization Name:IN HIS HANDS HOME HEALTH,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEAD BILLING
Authorized Official - Prefix:
Authorized Official - First Name:GLADYSWINNA
Authorized Official - Middle Name:GONZALES
Authorized Official - Last Name:PINOL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-349-7792
Mailing Address - Street 1:1431 W IRVING PARK RD
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60613-1920
Mailing Address - Country:US
Mailing Address - Phone:773-868-1500
Mailing Address - Fax:773-472-4300
Practice Address - Street 1:1431 W IRVING PARK RD
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60613-1920
Practice Address - Country:US
Practice Address - Phone:773-868-1500
Practice Address - Fax:773-472-4300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-25
Last Update Date:2008-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
147919Medicare Oscar/Certification