Provider Demographics
NPI:1942026984
Name:IN HOME PROVIDERS INC
Entity type:Organization
Organization Name:IN HOME PROVIDERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FARRAH MAY
Authorized Official - Middle Name:CATOLICO
Authorized Official - Last Name:MIRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:253-228-4920
Mailing Address - Street 1:PO BOX 39811
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98496-3811
Mailing Address - Country:US
Mailing Address - Phone:253-228-4920
Mailing Address - Fax:253-238-4920
Practice Address - Street 1:2723 173RD AVE E
Practice Address - Street 2:
Practice Address - City:LAKE TAPPS
Practice Address - State:WA
Practice Address - Zip Code:98391-5564
Practice Address - Country:US
Practice Address - Phone:253-228-4920
Practice Address - Fax:253-238-8722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-25
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty