Provider Demographics
NPI:1477720498
Name:AK HOME CARE LLC
Entity type:Organization
Organization Name:AK HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY/CNA
Authorized Official - Prefix:
Authorized Official - First Name:TERRON
Authorized Official - Middle Name:A
Authorized Official - Last Name:AUSTIN
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:970-858-1567
Mailing Address - Street 1:511 N WILLOW ST
Mailing Address - Street 2:
Mailing Address - City:FRUITA
Mailing Address - State:CO
Mailing Address - Zip Code:81521-2167
Mailing Address - Country:US
Mailing Address - Phone:970-858-1567
Mailing Address - Fax:
Practice Address - Street 1:511 N WILLOW ST
Practice Address - Street 2:
Practice Address - City:FRUITA
Practice Address - State:CO
Practice Address - Zip Code:81521-2167
Practice Address - Country:US
Practice Address - Phone:970-858-1567
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-08
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health