AT HOME HEALTH CARE AGENCY, LLC (NPI# 1851658223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851658223 |
| Entity Type | Organization |
| Organization Name | AT HOME HEALTH CARE AGENCY, LLC |
| Practice Address |
3001 Fairfield Ave Fort Wayne IN 46807-1600 |
| Practice Telephone | 2607552727 |
| Practice Fax Number | 2607552725 |
| Mailing Telephone | 2607552727 |
| Mailing Fax Number | 2607552725 |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2012-04-23 |
| Authorized Official Name | MS. LITITIA HATCHER-ROQUE (CEO) |
| Authorized Official Telephone | 2607552727 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 120127461 | IN | Agencies |
| Street Address |
3001 FAIRFIELD AVE |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46807-1600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234191 | Erin Hall | Case Manager/Care Coordinator | 5800 Faifield, Fort Wayne, IN 46807 | 2020-01-16 |
| 1912208745 | Lezly A Scott | Counselor | 2417 Fairfield Ave., Attn: Lezly Scott, Fort Wayne, IN 46807 | 2010-11-10 |
| 1851749147 | Eric Shoemaker | Family Medicine | 1007 W Rudisill Blvd, Fort Wayne, IN 46807 | 2016-05-27 |
| 1821464603 | Emily Nicole Ackerman | Physical Therapist | 5800 Fairfield Ave, Ste 150, Fort Wayne, IN 46807 | 2015-08-17 |
| 1477639698 | John P Crowley | Social Worker | 2805 Fairfield Ave, Fort Wayne, IN 46807 | 2006-10-31 |
| 1770131948 | Donzhae Lee | Student in an Organized Health Care Education/Training Program | 2510 Thompson Ave, Fort Wayne, IN 46807-1051 | 2019-08-30 |
| 1407919236 | The Arc of Northeast Indiana Inc. | Intermediate Care Facility, Mentally Retarded | 2522 Thompson Ave, Fort Wayne, IN 46807-1051 | 2006-12-19 |
| 1770725244 | Clinical Services, LLC | Clinic/Center | 2315 Broadway, Fort Wayne, IN 46807-1103 | 2009-03-30 |
| 1831252592 | Rosie T Milner | Nurse Practitioner | 2315 Broadway, Fort Wayne, IN 46807-1103 | 2006-12-17 |
| 1558379453 | James Curtis Potts | Dentist | 2703 Broadway, James C Potts Dds, Fort Wayne, IN 46807-1111 | 2006-08-04 |
| Find all providers in zip 46807 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194352195 | Ceara D Freeman | Home Health | 1044 Tennessee Ave, Fort Wayne, IN 46805-4265 | 2020-03-27 |
| 1346871712 | Sterling Home Health Care, Inc. | Home Health | 7231 W Jefferson Blvd, Fort Wayne, IN 46804-6279 | 2020-02-04 |
| 1558837765 | Shirley A Malone | Home Health | 3488 Stellhorn Rd Unit B, Fort Wayne, IN 46815-4630 | 2018-10-16 |
| 1336640721 | Apple Tree Home Health Care Services, LLC | Home Health | 4409 Winston Dr, Fort Wayne, IN 46806-2535 | 2018-02-22 |
| 1013430180 | League for The Blind and Disabled, Inc | Home Health | 5821 S Anthony Blvd, Fort Wayne, IN 46816-3701 | 2017-07-20 |
| 1740729383 | Bayada Home Health Care, Inc. | Home Health | 6351 Constitution Dr, Fort Wayne, IN 46804-1547 | 2017-02-15 |
| 1124566138 | Together Homecare of Fort Wayne LLC | Home Health | 5614 Industrial Rd, Fort Wayne, IN 46825-5126 | 2017-02-09 |
| 1588909808 | Am Home Health Care, LLP | Home Health | 2021 Chartwell Dr, Fort Wayne, IN 46816-1384 | 2012-11-28 |
| 1508125345 | Advantage Infusion Group, LLC | Home Health | 503 Airport North Office Park, Fort Wayne, IN 46825-6705 | 2012-05-14 |
| 1508123548 | Woodview Home Care LLC | Home Health | 3417 East State Blvd., Fort Wayne, IN 46805-4803 | 2012-04-16 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46807 |
Please comment or provide details below to improve the information on AT HOME HEALTH CARE AGENCY, LLC.
| 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.