Provider Demographics
NPI:1306134606
Name:AT HOME CAREGIVERS
Entity type:Organization
Organization Name:AT HOME CAREGIVERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:L
Authorized Official - Last Name:RUBENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-898-4663
Mailing Address - Street 1:7665 REDWOOD BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:NOVATO
Mailing Address - State:CA
Mailing Address - Zip Code:94945-1405
Mailing Address - Country:US
Mailing Address - Phone:415-898-4663
Mailing Address - Fax:415-899-8468
Practice Address - Street 1:7665 REDWOOD BLVD STE 200
Practice Address - Street 2:
Practice Address - City:NOVATO
Practice Address - State:CA
Practice Address - Zip Code:94945-1405
Practice Address - Country:US
Practice Address - Phone:415-898-4663
Practice Address - Fax:415-899-8468
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BEAR FLAG MARKETING CORP.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-07-20
Last Update Date:2011-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home