Healthcare Provider Details
I. General information
NPI: 1972016491
Provider Name (Legal Business Name): AT HOME HELPERS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/06/2017
Last Update Date: 02/02/2023
Certification Date: 02/02/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8715 KENNEDY AVE
HIGHLAND IN
46322-1642
US
IV. Provider business mailing address
8715 KENNEDY AVE
HIGHLAND IN
46322-1642
US
V. Phone/Fax
- Phone: 219-838-0808
- Fax: 219-838-0101
- Phone: 219-838-0808
- Fax: 219-838-0101
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3747P1801X |
| Taxonomy | Personal Care Attendant |
| License Number | 17-012059-1 |
| License Number State | IN |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 376J00000X |
| Taxonomy | Homemaker |
| License Number | 17-012059-1 |
| License Number State | IN |
VIII. Authorized Official
Name:
LYDIA
SANCHEZ-RAMOS
Title or Position: ADMINISTRATOR
Credential:
Phone: 219-838-0808