Provider Demographics
NPI:1396298949
Name:AT HOME CARE STAFFING
Entity type:Organization
Organization Name:AT HOME CARE STAFFING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:CURT
Authorized Official - Middle Name:
Authorized Official - Last Name:KASSAB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-358-0631
Mailing Address - Street 1:5700 OLD RICHMOND AVE
Mailing Address - Street 2:SUITE D -18
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226-1828
Mailing Address - Country:US
Mailing Address - Phone:804-356-0631
Mailing Address - Fax:804-612-3716
Practice Address - Street 1:1020 JEFFERSON HWY
Practice Address - Street 2:SUITE 101
Practice Address - City:STAUNTON
Practice Address - State:VA
Practice Address - Zip Code:24401-6681
Practice Address - Country:US
Practice Address - Phone:804-358-0631
Practice Address - Fax:804-612-3716
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-01
Last Update Date:2016-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO-171502251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAHCO-171502Medicaid