Provider Demographics
NPI:1811216385
Name:AT HOME NURSING
Entity Type:Organization
Organization Name:AT HOME NURSING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:WARCHOLA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:330-965-0063
Mailing Address - Street 1:828 MAYFIELD DR
Mailing Address - Street 2:
Mailing Address - City:BOARDMAN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-6460
Mailing Address - Country:US
Mailing Address - Phone:330-965-0063
Mailing Address - Fax:
Practice Address - Street 1:828 MAYFIELD DR
Practice Address - Street 2:
Practice Address - City:BOARDMAN
Practice Address - State:OH
Practice Address - Zip Code:44512-6460
Practice Address - Country:US
Practice Address - Phone:330-965-0063
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-24
Last Update Date:2010-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health