Provider Demographics
NPI:1265130827
Name:AT HOME HEALERS LLC
Entity type:Organization
Organization Name:AT HOME HEALERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AMBR
Authorized Official - Prefix:
Authorized Official - First Name:EVERLYNE
Authorized Official - Middle Name:
Authorized Official - Last Name:NGOZE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-284-8162
Mailing Address - Street 1:8801 W UNION HILLS DR
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85382-8189
Mailing Address - Country:US
Mailing Address - Phone:602-284-8162
Mailing Address - Fax:
Practice Address - Street 1:8801 W UNION HILLS DR
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85382-8189
Practice Address - Country:US
Practice Address - Phone:602-284-8162
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-22
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health