Provider Demographics
NPI:1548754666
Name:AT HOME-HOME CARE & CDS LLC
Entity Type:Organization
Organization Name:AT HOME-HOME CARE & CDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICE
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:FINNIE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:314-761-3048
Mailing Address - Street 1:2121 ROUNTREE DR
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63136-6134
Mailing Address - Country:US
Mailing Address - Phone:314-761-3048
Mailing Address - Fax:314-653-0087
Practice Address - Street 1:4144 LINDELL BLVD STE 221
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63108-2932
Practice Address - Country:US
Practice Address - Phone:314-761-3048
Practice Address - Fax:314-230-9748
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-21
Last Update Date:2020-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health