Provider Demographics
NPI:1558135921
Name:AT HOME MEDICAL SOLUTIONS LLC
Entity Type:Organization
Organization Name:AT HOME MEDICAL SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CONSTANTINE
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:312-459-1548
Mailing Address - Street 1:1107 E GRANT DR
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-6248
Mailing Address - Country:US
Mailing Address - Phone:312-459-1548
Mailing Address - Fax:
Practice Address - Street 1:1107 E GRANT DR
Practice Address - Street 2:
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60016-6248
Practice Address - Country:US
Practice Address - Phone:312-459-1548
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-07
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies