Provider Demographics
NPI:1730328733
Name:IN HOME SPECAILTY CARE
Entity type:Organization
Organization Name:IN HOME SPECAILTY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OF COMPANY
Authorized Official - Prefix:MS
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:LOUSIE
Authorized Official - Last Name:GRUBBS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-610-5392
Mailing Address - Street 1:719 KEENER WAY APT C6
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-4462
Mailing Address - Country:US
Mailing Address - Phone:724-834-2534
Mailing Address - Fax:
Practice Address - Street 1:719 KEENER WAY APT C6
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-4462
Practice Address - Country:US
Practice Address - Phone:724-834-2534
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-13
Last Update Date:2009-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA3854141251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health