Provider Demographics
NPI:1922508589
Name:AT HOME ELDERCARE LLC
Entity Type:Organization
Organization Name:AT HOME ELDERCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:RUOFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-239-4590
Mailing Address - Street 1:819 HWY 33
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-8598
Mailing Address - Country:US
Mailing Address - Phone:732-704-7753
Mailing Address - Fax:732-462-8662
Practice Address - Street 1:819 HWY 33
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-8598
Practice Address - Country:US
Practice Address - Phone:732-704-7753
Practice Address - Fax:732-462-8662
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-20
Last Update Date:2018-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health