Provider Demographics
NPI:1659309219
Name:AT HOME CARE INC.
Entity Type:Organization
Organization Name:AT HOME CARE INC.
Other - Org Name:CARE CORNER PERSONAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:SILVERSTEIN
Authorized Official - Suffix:II
Authorized Official - Credentials:PHD
Authorized Official - Phone:480-833-8889
Mailing Address - Street 1:1930 S ALMA SCHOOL RD
Mailing Address - Street 2:B-104
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85210-3064
Mailing Address - Country:US
Mailing Address - Phone:480-833-8889
Mailing Address - Fax:480-833-8578
Practice Address - Street 1:1930 S ALMA SCHOOL RD
Practice Address - Street 2:B-104
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85210-3064
Practice Address - Country:US
Practice Address - Phone:480-833-8889
Practice Address - Fax:480-833-8578
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-30
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ741240Medicaid