Organization
CARE AT HOME HEALTH AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WILLIAM ANTONIO RUCKER CEO (OWNER)
(828) 774-7959
Entity
Organization
Contact information
Practice address
120 CHADWICK AVE STE 19, HENDERSONVILLE, NC 28792-5710
(828) 774-7959
Mailing address
120 CHADWICK AVE STE 18, HENDERSONVILLE, NC 28792-5710
(828) 774-7959
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
11/07/2019
Last updated
02/26/2020
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