Provider Demographics
NPI:1699948406
Name:AT HOME PERSONAL CARE SERVICES
Entity type:Organization
Organization Name:AT HOME PERSONAL CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROCHELLE
Authorized Official - Middle Name:VEDRINNA
Authorized Official - Last Name:DENNING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-258-6435
Mailing Address - Street 1:5171 UNION CHAPEL RD
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:NC
Mailing Address - Zip Code:28360-3496
Mailing Address - Country:US
Mailing Address - Phone:910-258-6435
Mailing Address - Fax:703-590-1142
Practice Address - Street 1:5171 UNION CHAPEL RD
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NC
Practice Address - Zip Code:28360-3496
Practice Address - Country:US
Practice Address - Phone:910-258-6435
Practice Address - Fax:703-590-1142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-12
Last Update Date:2008-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health