Organization
AT HOME- HOME CARE SERVICES, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICK JOHNSON (MANAGING PARTNER)
(317) 396-1573
Entity
Organization
Contact information
Practice address
6201 LA PAS TRL, SUITE 170, INDIANAPOLIS, IN 46268-4887
(317) 396-1573
(317) 297-7895
Mailing address
6201 LA PAS TRL, SUITE 170, INDIANAPOLIS, IN 46268-4887
(317) 396-1573
(317) 297-7895
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200853860A
—
IN
Enumeration date
10/27/2006
Last updated
08/30/2007
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