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NPI Code Detail

MEDICARE: AT HOME CARE, INC.

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
1251E00000XHome Health Agency1010099IL

General Provider Information

NPI Number : 1659330017
Entity Type Code : Organization
Provider Name (Legal Business Name) : AT HOME CARE, INC.
Provider Business Mailing Address
First Line : 1519 UNIVERSITY DR
Second Line :
City : CHARLESTON
State : IL
Zip : 61920-3203
Country : US
Telephone Number : 217-345-4003
Fax Number : 217-345-4044
Provider Business Practice Location Address
First Line : 1519 UNIVERSITY DR
Second Line :
City : CHARLESTON
State : IL
Zip : 61920-3203
Country : US
Telephone Number : 217-345-4003
Fax Number : 217-345-4044
Authorized Official
Title or Position : ADMINISTRATOR
Name : MELISSA HIGELMIRE
Credential : RN
Telephone Number : 217-345-4003
Provider Enumeration Date : 03/22/2006
Last Update Date : 04/20/2008

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Directions to “AT HOME CARE, INC. ” Practice Location

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