AT HOME SPECIAL CARE LLC (NPI# 1366951089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366951089 |
| Entity Type | Organization |
| Organization Name | AT HOME SPECIAL CARE LLC |
| Practice Address |
1301 9th St Altoona PA 16601-4713 |
| Practice Telephone | 8142012219 |
| Practice Fax Number | 8142012219 |
| Mailing Telephone | 8142012219 |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2017-09-26 |
| Authorized Official Name | MS. TONYA DIANN MCCLELLAN (DIRECTOR/OWNER) |
| Authorized Official Telephone | 8142012219 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 372600000X | Adult Companion | 34893601 | PA | Nursing Service Related Providers |
| Y | 311Z00000X | Custodial Care Facility | 34893601 | PA | Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | AT HOME SPECIAL CARE LLC | 321 Mountain Ave, Altoona, PA 16602-6601 |
| Street Address |
1301 9TH ST |
| City | ALTOONA |
| State | PA |
| Zip Code | 16601-4713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205456498 | Divya Venkata Tumuluru | Student in an Organized Health Care Education/Training Program | 501 Howard Avenue-suite F2 Altoona Family Physicians, Altoona, PA 16601 | 2020-04-17 |
| 1114574787 | Neil Pietrolungo | Counselor | 1216 11th Avenue, St. 215, Altoona, PA 16601 | 2019-08-19 |
| 1326509621 | Lucas L Warton | Student in an Organized Health Care Education/Training Program | Altoona Family Physicians, 501 Howard Ave, Ste F2, Altoona, PA 16601 | 2019-03-28 |
| 1669932141 | Edmiston Physical Therapy Co | Physical Therapist | 2927 Beale Ave. Suite E101, Altoona, PA 16601 | 2019-03-21 |
| 1871052407 | Ji Won Lee | Student in an Organized Health Care Education/Training Program | 501 Howard Avenue Altoona Family Physicians, Suite F2, Altoona, PA 16601 | 2019-03-13 |
| 1982199774 | Shikha Salhotra | Student in an Organized Health Care Education/Training Program | 501 Howard Avenue Altoona Family Physicians, Suite F2, Altoona, PA 16601 | 2018-06-25 |
| 1679063655 | Sarah Ann Bier | Registered Nurse | 2900 Plank Rd, Altoona, PA 16601 | 2018-05-15 |
| 1306334073 | Mohammad Omar Bukhari | Student in an Organized Health Care Education/Training Program | Altoona Family Physicians 501 Howard Avenue, Suite F2, Altoona, PA 16601 | 2018-04-27 |
| 1730676164 | Kathleen Elizabeth Woods | Student in an Organized Health Care Education/Training Program | 501 Howard Avenue Suite F2, Altoona Family Physicians, Altoona, PA 16601 | 2018-04-20 |
| 1386082485 | Zachary Charles Haulman | Physical Medicine & Rehabilitation | 2900 Beale Ave Ste 110, Altoona, PA 16601 | 2013-06-11 |
| Find all providers in zip 16601 | ||||
| Taxonomy Code | 311Z00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. |
| Notes: Source: Paraphrased from Section 3159 A3 of the Medicare Intermediary Manual. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912156530 | Grace Adult Day Services - Altoona | Custodial Care Facility | 2441 New Pine Dr, Altoona, WI 54720-3300 | 2008-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316557978 | Sheltering Arms Lean On We | Custodial Care Facility | 469 Alcott St, Philadelphia, PA 19120-1101 | 2020-08-07 |
| 1104462985 | Better Life Home Care Group | Custodial Care Facility | 233 Sherbrook Blvd, Upper Darby, PA 19082-4606 | 2019-11-27 |
| 1649675257 | Life Force Eldercare Corp | Custodial Care Facility | 3544 W Chester Pike, Suite 216, Newtown Square, PA 19073-4107 | 2014-10-24 |
| 1528495595 | Thomas C Detweiler,md | Custodial Care Facility | 2405 N Broad St, Colmar, PA 18915-9406 | 2013-10-04 |
| 1922324649 | Companions for You, Inc. | Custodial Care Facility | 6124 W Jefferson St, Philadelphia, PA 19151-3902 | 2010-04-20 |
| 1699902783 | Fcc Allenwood | Custodial Care Facility | Route 15 Russell Road, Allenwood, PA 17810-2500 | 2009-06-16 |
| 1295982585 | Precious Moments Personal Care Home, Inc. | Custodial Care Facility | 245 Center Street, Clarksville, PA 15322 | 2008-08-19 |
| 1790949030 | Rolls Personal Care Home | Custodial Care Facility | 47 River Ave, Masontown, PA 15461-1963 | 2008-07-16 |
| 1184888083 | The Good Samaritan | Custodial Care Facility | 450 Crucible Rd, Rices Landing, PA 15357-2151 | 2008-07-10 |
| 1851562870 | Haneys Personal Care Home | Custodial Care Facility | 330 Carmichaels St, Rices Landing, PA 15357-2155 | 2008-03-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.