Provider Demographics
NPI:1417090234
Name:AT HOME CARE OPTIONS LLC
Entity Type:Organization
Organization Name:AT HOME CARE OPTIONS LLC
Other - Org Name:VISITING ANGELS LIVING ASS'T SVCS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:VERNA
Authorized Official - Middle Name:
Authorized Official - Last Name:CODD
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:702-564-1711
Mailing Address - Street 1:4525 S SANDHILL RD STE 116
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89121-5956
Mailing Address - Country:US
Mailing Address - Phone:702-564-1711
Mailing Address - Fax:702-456-8287
Practice Address - Street 1:4525 S SANDHILL RD STE 116
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89121-5956
Practice Address - Country:US
Practice Address - Phone:702-564-1711
Practice Address - Fax:702-456-8287
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100506421Medicaid
NV100506422Medicaid