Provider Demographics
NPI:1073942249
Name:ATT HOME CARE INC
Entity Type:Organization
Organization Name:ATT HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TONY
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-600-3538
Mailing Address - Street 1:1563 WHITE BEAR AVE N # 101
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55106-1616
Mailing Address - Country:US
Mailing Address - Phone:651-600-3538
Mailing Address - Fax:
Practice Address - Street 1:1563 WHITE BEAR AVE N # 101
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55106-1616
Practice Address - Country:US
Practice Address - Phone:651-600-3538
Practice Address - Fax:651-646-8910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-07
Last Update Date:2013-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN364933251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health