Provider Demographics
NPI:1659662534
Name:AT HOME NURSING & THERAPY SERVICES LLC
Entity Type:Organization
Organization Name:AT HOME NURSING & THERAPY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:FISHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-452-5700
Mailing Address - Street 1:642 W NEW CASTLE ST
Mailing Address - Street 2:
Mailing Address - City:ZELIENOPLE
Mailing Address - State:PA
Mailing Address - Zip Code:16063-1049
Mailing Address - Country:US
Mailing Address - Phone:724-452-5700
Mailing Address - Fax:724-452-5701
Practice Address - Street 1:642 W NEW CASTLE ST
Practice Address - Street 2:
Practice Address - City:ZELIENOPLE
Practice Address - State:PA
Practice Address - Zip Code:16063-1049
Practice Address - Country:US
Practice Address - Phone:724-452-5700
Practice Address - Fax:724-452-5701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-26
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA04420501251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA398164Medicare Oscar/Certification