# AT HOME SENIOR SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HomeChoice Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134242688
- **Authorized official:** MRS. LYN BRANDENBURG (COMPLIANCE DIRECTOR)
- **Authorized official phone:** (919) 557-4663

## Contact information

- **Practice address:** 1000 N MAIN STREET, SUITE 201, FUQUAY VARINA, NC 27526
- **Practice address phone:** (919) 557-4663
- **Practice address fax:** (919) 557-4673
- **Mailing address:** PO BOX 1185, FUQUAY VARINA, NC 27526
- **Mailing address phone:** (919) 557-4663
- **Mailing address fax:** (919) 557-4673

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HC3283 | NC | Yes |
| 251E00000X | Home Health Agency | HC3368 | NC | — |
| 251E00000X | Home Health Agency | HC3654 | NC | — |
| 251E00000X | Home Health Agency | HC3655 | NC | — |

## Other

- **Enumeration date:** 04/09/2007
- **Last updated:** 02/01/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 6601429 | — | NC |