MEDICARE: AT HOME WITH THE WESTERNHOME 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

General Provider Information

NPI Number	:	1699397166
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AT HOME WITH THE WESTERNHOME INC

Provider Business Mailing Address
First Line	:	5307 CARAWAY LN
Second Line	:
City	:	CEDAR FALLS
State	:	IA
Zip	:	50613-8172
Country	:	US
Telephone Number	:	319-277-7779
Fax Number	:

Provider Business Practice Location Address
First Line	:	5307 CARAWAY LN
Second Line	:
City	:	CEDAR FALLS
State	:	IA
Zip	:	50613-8172
Country	:	US
Telephone Number	:	319-277-7779
Fax Number	:

Authorized Official
Title or Position	:	SENIOR DIRECTOR
Name	:	BRIANA HILMER
Credential	:	RN
Telephone Number	:	319-277-7779

Provider Enumeration Date	:	05/07/2020
Last Update Date	:	05/07/2020

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Directions to “AT HOME WITH THE WESTERNHOME INC ” Practice Location

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