MEDICARE: AT HOME WITH CARE

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	251C00000X	Developmentally Disabled Services Day Training Agency
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1972437812
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AT HOME WITH CARE

Provider Business Mailing Address
First Line	:	1547 LIVE OAK DR # A
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32301-4907
Country	:	US
Telephone Number	:	850-350-6011
Fax Number	:

Provider Business Practice Location Address
First Line	:	1547 LIVE OAK DR # A
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32301-4907
Country	:	US
Telephone Number	:	850-350-6011
Fax Number	:

Authorized Official
Title or Position	:	MANGER
Name	:	SHAKYILA BRUNDAGE
Credential	:
Telephone Number	:	850-350-6011

Provider Enumeration Date	:	06/08/2026
Last Update Date	:	06/08/2026

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Directions to “AT HOME WITH CARE ” Practice Location

Language	Start Address	Practice Location

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