Provider Demographics
NPI:1811520547
Name:AT HOME HEALTH SERVICES LLC
Entity type:Organization
Organization Name:AT HOME HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:STONICH
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:610-820-8301
Mailing Address - Street 1:4315 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:SCHNECKSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18078-2175
Mailing Address - Country:US
Mailing Address - Phone:610-820-8301
Mailing Address - Fax:267-319-1531
Practice Address - Street 1:4315 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:SCHNECKSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18078-2175
Practice Address - Country:US
Practice Address - Phone:610-820-8301
Practice Address - Fax:267-319-1531
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-21
Last Update Date:2020-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health