Provider Demographics
NPI:1548594674
Name:A&T CERTIFIED HOME CARE LLC
Entity Type:Organization
Organization Name:A&T CERTIFIED HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:ONODY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-558-1706
Mailing Address - Street 1:337 N MAIN ST
Mailing Address - Street 2:SUITE 9A
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-4310
Mailing Address - Country:US
Mailing Address - Phone:845-708-8182
Mailing Address - Fax:845-708-8183
Practice Address - Street 1:337 N MAIN ST
Practice Address - Street 2:SUITE 9A
Practice Address - City:NEW CITY
Practice Address - State:NY
Practice Address - Zip Code:10956-4310
Practice Address - Country:US
Practice Address - Phone:845-708-8182
Practice Address - Fax:845-708-8183
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-22
Last Update Date:2015-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03340250Medicaid
NY03340250Medicaid