MEDICARE: AT YOUR SERVICE SENIOR CARE 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1700402542
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AT YOUR SERVICE SENIOR CARE LLC

Provider Business Mailing Address
First Line	:	2650 SW MATHESON AVE
Second Line	:
City	:	PALM CITY
State	:	FL
Zip	:	34990-2700
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2011 S 25TH ST UNIT 207
Second Line	:
City	:	FORT PIERCE
State	:	FL
Zip	:	34947-4753
Country	:	US
Telephone Number	:	772-342-5599
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ARATI HAMMOND
Credential	:
Telephone Number	:	772-342-5599

Provider Enumeration Date	:	06/17/2020
Last Update Date	:	06/17/2020

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