Provider Demographics
NPI:1942504592
Name:AT HOME CARE, LLC
Entity Type:Organization
Organization Name:AT HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:THAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-669-3376
Mailing Address - Street 1:219 N WASHINGTON ST
Mailing Address - Street 2:PO BOX 143
Mailing Address - City:THORP
Mailing Address - State:WI
Mailing Address - Zip Code:54771-9535
Mailing Address - Country:US
Mailing Address - Phone:715-669-3376
Mailing Address - Fax:715-669-3151
Practice Address - Street 1:219 N WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:THORP
Practice Address - State:WI
Practice Address - Zip Code:54771-9535
Practice Address - Country:US
Practice Address - Phone:715-669-3376
Practice Address - Fax:715-669-3151
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-22
Last Update Date:2011-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health