Provider Demographics
NPI:1669102430
Name:AT HOME STAFFING, LLC
Entity type:Organization
Organization Name:AT HOME STAFFING, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANA
Authorized Official - Middle Name:
Authorized Official - Last Name:BUCIO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:509-775-6337
Mailing Address - Street 1:11260 WOODSMAN DR
Mailing Address - Street 2:
Mailing Address - City:PASCO
Mailing Address - State:WA
Mailing Address - Zip Code:99301-5587
Mailing Address - Country:US
Mailing Address - Phone:509-366-2942
Mailing Address - Fax:
Practice Address - Street 1:713 JADWIN AVE STE 3
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-4202
Practice Address - Country:US
Practice Address - Phone:509-775-6336
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-14
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty