Healthcare Provider Details

I. General information

NPI: 1932043858
Provider Name (Legal Business Name): AT HOME HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

64 E BROADWAY RD.
TEMPE AZ
85282
US

IV. Provider business mailing address

800 COMPTON RD UNIT 22
CINCINNATI OH
45231-3846
US

V. Phone/Fax

Practice location:
  • Phone: 513-884-0917
  • Fax: 513-880-0519
Mailing address:
  • Phone: 513-884-0917
  • Fax: 513-880-0519

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MISS DEONDRA MILLS
Title or Position: CEO
Credential:
Phone: 513-884-0917