Provider Demographics
NPI:1497270094
Name:HOME AT LAST, LLC
Entity Type:Organization
Organization Name:HOME AT LAST, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:NATHANIE
Authorized Official - Middle Name:S
Authorized Official - Last Name:AMENU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-409-9123
Mailing Address - Street 1:4701 S WOODLAWN AVE APT C
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60615-1945
Mailing Address - Country:US
Mailing Address - Phone:815-409-9123
Mailing Address - Fax:
Practice Address - Street 1:4701 S WOODLAWN AVE APT C
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60615-1945
Practice Address - Country:US
Practice Address - Phone:815-409-9123
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health