Provider Demographics
NPI:1659792612
Name:AT HOME RESPIRATION CARE, APC
Entity Type:Organization
Organization Name:AT HOME RESPIRATION CARE, APC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORPORATE SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-587-0145
Mailing Address - Street 1:19267 COLIMA RD
Mailing Address - Street 2:SUITE J
Mailing Address - City:ROWLAND HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91748-3071
Mailing Address - Country:US
Mailing Address - Phone:626-964-2100
Mailing Address - Fax:626-964-2110
Practice Address - Street 1:19267 COLIMA RD
Practice Address - Street 2:SUITE J
Practice Address - City:ROWLAND HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:91748-3071
Practice Address - Country:US
Practice Address - Phone:626-964-2100
Practice Address - Fax:626-964-2110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-18
Last Update Date:2013-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health