MEDICARE: AT-HOME CARE SERVICES

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	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1629927884
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AT-HOME CARE SERVICES

Provider Business Mailing Address
First Line	:	2861 SOMERSET DR APT F115
Second Line	:
City	:	LAUDERDALE LAKES
State	:	FL
Zip	:	33311-1975
Country	:	US
Telephone Number	:	954-608-5111
Fax Number	:

Provider Business Practice Location Address
First Line	:	2861 SOMERSET DR APT F115
Second Line	:
City	:	LAUDERDALE LAKES
State	:	FL
Zip	:	33311-1975
Country	:	US
Telephone Number	:	954-608-5111
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	THOMAS BOEHM JR.
Credential	:
Telephone Number	:	954-818-8202

Provider Enumeration Date	:	01/22/2026
Last Update Date	:	01/22/2026

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Directions to “AT-HOME CARE SERVICES ” Practice Location

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