Provider Demographics
NPI:1629027685
Name:AT-MED HOME CARE
Entity Type:Organization
Organization Name:AT-MED HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:V.P./CFO
Authorized Official - Prefix:
Authorized Official - First Name:V.A.
Authorized Official - Middle Name:
Authorized Official - Last Name:ATKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-846-9721
Mailing Address - Street 1:138 W CARMEL DR
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-2526
Mailing Address - Country:US
Mailing Address - Phone:317-846-9721
Mailing Address - Fax:317-705-1303
Practice Address - Street 1:138 W CARMEL DR
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-2526
Practice Address - Country:US
Practice Address - Phone:317-846-9721
Practice Address - Fax:317-705-1303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health