Provider Demographics
NPI:1902363534
Name:ALL ABOUT HOME
Entity Type:Organization
Organization Name:ALL ABOUT HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:TEN EYCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-351-5731
Mailing Address - Street 1:211 S FRED ST
Mailing Address - Street 2:
Mailing Address - City:EGAN
Mailing Address - State:SD
Mailing Address - Zip Code:57024-2150
Mailing Address - Country:US
Mailing Address - Phone:605-351-5731
Mailing Address - Fax:
Practice Address - Street 1:211 S FRED ST
Practice Address - Street 2:
Practice Address - City:EGAN
Practice Address - State:SD
Practice Address - Zip Code:57024-2150
Practice Address - Country:US
Practice Address - Phone:605-351-5731
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-01
Last Update Date:2019-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care