# CARE-AT-HOME INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992012942
- **Authorized official:** MS. INNA ANATOLY LUKYANOV (AS PRESIDENT FOR CARE-AT-HOME INC)
- **Authorized official phone:** (352) 222-8968

## Contact information

- **Practice address:** 7100 ULMERTON RD, \#926, LARGO, FL 33771-0000
- **Practice address phone:** (352) 222-8968
- **Practice address fax:** (352) 332-7187
- **Mailing address:** PO BOX 358292, GAINESVILLE, FL 32635-8292
- **Mailing address phone:** (352) 222-8968
- **Mailing address fax:** (352) 332-7187

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |
| 172V00000X | Community Health Worker | — | — | — |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/10/2010
- **Last updated:** 09/10/2010