Provider Demographics
NPI:1366032419
Name:AT HOME WE CARE LLC
Entity Type:Organization
Organization Name:AT HOME WE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MALLORY
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:CRAOG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-467-6488
Mailing Address - Street 1:322 NORTH SHORE DRIVE
Mailing Address - Street 2:BUILDING 1B SUITE 200
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212
Mailing Address - Country:US
Mailing Address - Phone:412-467-6488
Mailing Address - Fax:
Practice Address - Street 1:322 NORTH SHORE DRIVE
Practice Address - Street 2:BUILDING 1B SUITE 200
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212
Practice Address - Country:US
Practice Address - Phone:412-467-6488
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-22
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty