Provider Demographics
NPI:1366887689
Name:IN-HOME NURSING CARE SERVICES INC.
Entity type:Organization
Organization Name:IN-HOME NURSING CARE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/RN
Authorized Official - Prefix:
Authorized Official - First Name:EUCHARIA
Authorized Official - Middle Name:UCHENNA
Authorized Official - Last Name:OFOKANSI
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERD NURSE
Authorized Official - Phone:816-569-0773
Mailing Address - Street 1:7530 TROOST AVE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64131-2093
Mailing Address - Country:US
Mailing Address - Phone:816-569-0773
Mailing Address - Fax:816-841-9654
Practice Address - Street 1:7530 TROOST AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64131-2093
Practice Address - Country:US
Practice Address - Phone:816-569-0773
Practice Address - Fax:816-841-9654
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-30
Last Update Date:2013-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO0012471Medicaid