Provider Demographics
NPI:1043774417
Name:AT HOME CARE AND HOME HEALTH SERVICES INC.
Entity Type:Organization
Organization Name:AT HOME CARE AND HOME HEALTH SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:
Authorized Official - Last Name:TEED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:435-494-6775
Mailing Address - Street 1:PO BOX 380303
Mailing Address - Street 2:
Mailing Address - City:IVINS
Mailing Address - State:UT
Mailing Address - Zip Code:84738-0303
Mailing Address - Country:US
Mailing Address - Phone:435-494-6775
Mailing Address - Fax:435-652-3675
Practice Address - Street 1:929 W SUNSET BLVD STE 21-262
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-4865
Practice Address - Country:US
Practice Address - Phone:435-494-6775
Practice Address - Fax:435-652-3675
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-29
Last Update Date:2019-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health