Provider Demographics
NPI:1912203498
Name:AT HOME QUALITY CARE, INC
Entity Type:Organization
Organization Name:AT HOME QUALITY CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR OF NURSING
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:RICE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:919-846-1018
Mailing Address - Street 1:7721 SIX FORKS RD
Mailing Address - Street 2:SUITE 130
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-5280
Mailing Address - Country:US
Mailing Address - Phone:919-846-1018
Mailing Address - Fax:919-846-5954
Practice Address - Street 1:7721 SIX FORKS RD
Practice Address - Street 2:SUITE 130
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-5280
Practice Address - Country:US
Practice Address - Phone:919-846-1018
Practice Address - Fax:919-846-5954
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-01
Last Update Date:2011-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC0074251F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC047J9OtherBCBS HOME INFUSION THERAPY
NC6800498OtherHOME INFUSION THERAPY - NC MEDICAID