Provider Demographics
NPI:1770881278
Name:AT HOME NURSING SERVICES,LLC
Entity type:Organization
Organization Name:AT HOME NURSING SERVICES,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:JUDITH
Authorized Official - Last Name:WILTSHIRE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:301-437-1295
Mailing Address - Street 1:111 FIELDSTONE CT
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702-3279
Mailing Address - Country:US
Mailing Address - Phone:301-437-1295
Mailing Address - Fax:301-668-7843
Practice Address - Street 1:111 FIELDSTONE CT
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702-3279
Practice Address - Country:US
Practice Address - Phone:301-437-1295
Practice Address - Fax:301-668-7843
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-07
Last Update Date:2011-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR2999P251F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion