Provider Demographics
NPI:1205006095
Name:AT HOME ASSESSMENTS
Entity Type:Organization
Organization Name:AT HOME ASSESSMENTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:J
Authorized Official - Last Name:JURIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-872-8484
Mailing Address - Street 1:4900 THORNTON RD
Mailing Address - Street 2:SUITE 125
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27616-5878
Mailing Address - Country:US
Mailing Address - Phone:919-872-8484
Mailing Address - Fax:919-872-8411
Practice Address - Street 1:4900 THORNTON RD
Practice Address - Street 2:SUITE 125
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27616-5878
Practice Address - Country:US
Practice Address - Phone:919-872-8484
Practice Address - Fax:919-872-8411
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-07
Last Update Date:2010-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6183740002Medicare NSC