MEDICARE: AT HOME HEALTH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3747A0650X	Attendant Care Provider
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1588496848
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AT HOME HEALTH LLC

Provider Business Mailing Address
First Line	:	15310 AMBERLY DR STE 180
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33647-1640
Country	:	US
Telephone Number	:	813-353-2002
Fax Number	:	813-736-4823

Provider Business Practice Location Address
First Line	:	15310 AMBERLY DRIVE STE 180
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33647-2146
Country	:	US
Telephone Number	:	813-353-2002
Fax Number	:	813-736-4823

Authorized Official
Title or Position	:	OWNER
Name	:	MS. ELIZABETH FOSTER
Credential	:
Telephone Number	:	813-353-2002

Provider Enumeration Date	:	08/15/2024
Last Update Date	:	12/30/2025

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Directions to “AT HOME HEALTH LLC ” Practice Location

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