Provider Demographics
NPI:1700370210
Name:AT HOME SOLUTIONS
Entity Type:Organization
Organization Name:AT HOME SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GIOVANNI
Authorized Official - Middle Name:FRANCESCO
Authorized Official - Last Name:MARGAROLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-948-4848
Mailing Address - Street 1:2961 E SERENE AVE
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-6507
Mailing Address - Country:US
Mailing Address - Phone:702-948-4848
Mailing Address - Fax:702-948-4845
Practice Address - Street 1:2961 E SERENE AVE
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-6507
Practice Address - Country:US
Practice Address - Phone:702-948-4848
Practice Address - Fax:702-948-4845
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-18
Last Update Date:2018-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV5480PCS-11253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV9005048754Medicaid
NV9005054756Medicaid
NV9005002512Medicaid