Healthcare Provider Details

I. General information

NPI: 1598955338
Provider Name (Legal Business Name): AT HOME SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2007
Last Update Date: 07/27/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 S IDAHO RD
APACHE JUNCTION AZ
85219-3705
US

IV. Provider business mailing address

PO BOX 169
QUEEN CREEK AZ
85242-0169
US

V. Phone/Fax

Practice location:
  • Phone: 480-984-2700
  • Fax:
Mailing address:
  • Phone: 480-984-2700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLY S MCCREERY
Title or Position: OWNER
Credential:
Phone: 480-984-2700