Provider Demographics
NPI:1821171901
Name:AT-HOME HEALTH CARE, INC
Entity Type:Organization
Organization Name:AT-HOME HEALTH CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN. ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:DARLA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-341-9350
Mailing Address - Street 1:2708 W 12TH AVE
Mailing Address - Street 2:
Mailing Address - City:EMPORIA
Mailing Address - State:KS
Mailing Address - Zip Code:66801-6341
Mailing Address - Country:US
Mailing Address - Phone:620-341-9350
Mailing Address - Fax:620-341-3975
Practice Address - Street 1:2708 W 12TH AVE
Practice Address - Street 2:
Practice Address - City:EMPORIA
Practice Address - State:KS
Practice Address - Zip Code:66801-6341
Practice Address - Country:US
Practice Address - Phone:620-341-9350
Practice Address - Fax:620-341-3975
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-23
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS178075Medicare Oscar/Certification