Provider Demographics
NPI:1871940460
Name:IN HOME PERSONAL CARE SERVICES INC
Entity type:Organization
Organization Name:IN HOME PERSONAL CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:W
Authorized Official - Last Name:BARCOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-341-6830
Mailing Address - Street 1:3809 BIRNEY AVE
Mailing Address - Street 2:
Mailing Address - City:MOOSIC
Mailing Address - State:PA
Mailing Address - Zip Code:18507-1513
Mailing Address - Country:US
Mailing Address - Phone:570-341-6830
Mailing Address - Fax:570-341-6831
Practice Address - Street 1:3809 BIRNEY AVE
Practice Address - Street 2:
Practice Address - City:MOOSIC
Practice Address - State:PA
Practice Address - Zip Code:18507-1513
Practice Address - Country:US
Practice Address - Phone:570-341-6830
Practice Address - Fax:570-341-6831
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-24
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA13003601253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care