Provider Demographics
NPI:1558135921
Name:AT HOME MEDICAL SOLUTIONS LLC
Entity type:Organization
Organization Name:AT HOME MEDICAL SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CONSTANTINE
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:312-459-1548
Mailing Address - Street 1:307 S MILWAUKEE AVE STE 121
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:IL
Mailing Address - Zip Code:60090-5035
Mailing Address - Country:US
Mailing Address - Phone:312-459-1548
Mailing Address - Fax:224-335-7016
Practice Address - Street 1:307 S MILWAUKEE AVE STE 121
Practice Address - Street 2:
Practice Address - City:WHEELING
Practice Address - State:IL
Practice Address - Zip Code:60090-5035
Practice Address - Country:US
Practice Address - Phone:312-459-1548
Practice Address - Fax:224-335-7016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-07
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies