Provider Demographics
NPI:1831588102
Name:AT HOME INFUSION SERVICES LLC
Entity type:Organization
Organization Name:AT HOME INFUSION SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SOHAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:MASOOD
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:800-435-3020
Mailing Address - Street 1:3500 NW BOCA RATON BLVD
Mailing Address - Street 2:STE 704
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-5851
Mailing Address - Country:US
Mailing Address - Phone:561-353-4663
Mailing Address - Fax:561-353-4666
Practice Address - Street 1:10101 W SAMPLE RD STE 107
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-3937
Practice Address - Country:US
Practice Address - Phone:877-309-2207
Practice Address - Fax:877-309-2209
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-09
Last Update Date:2022-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299994352251E00000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL299994352OtherFL AGENCY FOR HEALTH CARE ADMINISTRATION