MEDICARE: AT HOME CARE INC.

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	:	1659309219
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AT HOME CARE INC.

Provider Business Mailing Address
First Line	:	1930 S ALMA SCHOOL RD
Second Line	:	B-104
City	:	MESA
State	:	AZ
Zip	:	85210-3064
Country	:	US
Telephone Number	:	480-833-8889
Fax Number	:	480-833-8578

Provider Business Practice Location Address
First Line	:	1930 S ALMA SCHOOL RD
Second Line	:	B-104
City	:	MESA
State	:	AZ
Zip	:	85210-3064
Country	:	US
Telephone Number	:	480-833-8889
Fax Number	:	480-833-8578

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. GAIL SILVERSTEIN II
Credential	:	PHD
Telephone Number	:	480-833-8889

Provider Enumeration Date	:	06/30/2006
Last Update Date	:	08/01/2007

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Directions to “AT HOME CARE INC. ” Practice Location

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