Provider Demographics
NPI:1275147860
Name:AT-HOME CARE LLC
Entity type:Organization
Organization Name:AT-HOME CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR/BOARD MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:NYMPHA
Authorized Official - Middle Name:C
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-463-9570
Mailing Address - Street 1:4955 S DURANGO DR STE 153
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89113-0154
Mailing Address - Country:US
Mailing Address - Phone:702-463-9585
Mailing Address - Fax:
Practice Address - Street 1:2310 PASEO DEL PRADO STE A206
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-4330
Practice Address - Country:US
Practice Address - Phone:702-463-9570
Practice Address - Fax:702-714-1864
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-01
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based