MEDICARE: A&T CERTIFIED HOME 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	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548594674
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A&T CERTIFIED HOME CARE LLC

Provider Business Mailing Address
First Line	:	337 N MAIN ST
Second Line	:	SUITE 9A
City	:	NEW CITY
State	:	NY
Zip	:	10956-4310
Country	:	US
Telephone Number	:	845-708-8182
Fax Number	:	845-708-8183

Provider Business Practice Location Address
First Line	:	337 N MAIN ST
Second Line	:	SUITE 9A
City	:	NEW CITY
State	:	NY
Zip	:	10956-4310
Country	:	US
Telephone Number	:	845-708-8182
Fax Number	:	845-708-8183

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. MARGARET ONODY
Credential	:
Telephone Number	:	845-558-1706

Provider Enumeration Date	:	09/22/2009
Last Update Date	:	04/28/2015

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