Provider Demographics
NPI:1497150452
Name:AT YOUR SERVICE HOME CARE LLC
Entity Type:Organization
Organization Name:AT YOUR SERVICE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:CAPPS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-468-8929
Mailing Address - Street 1:PO BOX 38
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:IA
Mailing Address - Zip Code:50250-0038
Mailing Address - Country:US
Mailing Address - Phone:515-468-8929
Mailing Address - Fax:
Practice Address - Street 1:413 S DIVISION ST
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:IA
Practice Address - Zip Code:50250-2072
Practice Address - Country:US
Practice Address - Phone:515-468-8929
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-01
Last Update Date:2014-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health