Provider Demographics
NPI:1205218732
Name:ALL SUPPORT AT HOME LLC
Entity Type:Organization
Organization Name:ALL SUPPORT AT HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/LLC MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:K
Authorized Official - Last Name:SAAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-458-0373
Mailing Address - Street 1:1038 LEIGH AVE
Mailing Address - Street 2:SUITE 216
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95126-4129
Mailing Address - Country:US
Mailing Address - Phone:408-971-1997
Mailing Address - Fax:408-689-4349
Practice Address - Street 1:1038 LEIGH AVE
Practice Address - Street 2:SUITE 216
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95126-4129
Practice Address - Country:US
Practice Address - Phone:408-971-1997
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-20
Last Update Date:2016-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health