Provider Demographics
NPI:1063705234
Name:WRIGHT AT HOME, LLC
Entity type:Organization
Organization Name:WRIGHT AT HOME, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:TRANNA
Authorized Official - Middle Name:K
Authorized Official - Last Name:WRIGHTSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:515-528-4044
Mailing Address - Street 1:455 WAUKEE AVE
Mailing Address - Street 2:
Mailing Address - City:WAUKEE
Mailing Address - State:IA
Mailing Address - Zip Code:50263-8103
Mailing Address - Country:US
Mailing Address - Phone:515-987-3212
Mailing Address - Fax:
Practice Address - Street 1:455 WAUKEE AVE
Practice Address - Street 2:
Practice Address - City:WAUKEE
Practice Address - State:IA
Practice Address - Zip Code:50263-8103
Practice Address - Country:US
Practice Address - Phone:515-987-3212
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-22
Last Update Date:2011-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAD110204251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health