Provider Demographics
NPI:1821754375
Name:AT HOME SENIOR CARE SERVICES INC
Entity Type:Organization
Organization Name:AT HOME SENIOR CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROSALIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:ADLHOCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-378-2643
Mailing Address - Street 1:6303 OWENSMOUTH AVE FL 10
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-2262
Mailing Address - Country:US
Mailing Address - Phone:818-378-2643
Mailing Address - Fax:
Practice Address - Street 1:6303 OWENSMOUTH AVE FL 10
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-2262
Practice Address - Country:US
Practice Address - Phone:818-378-2643
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-09
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care