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Contact Information

AT HOME SENIOR SERVICES, INC.
1000 N. MAIN STREET
SUITE 201
FUQUAY VARINA, NC27526
 Phone: 919-557-4663
 Fax: 919-557-4673
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for AT HOME SENIOR SERVICES, INC.

NPI # 1013221688
LBN Legal business name AT HOME SENIOR SERVICES, INC.
Authorized official LYN BRANDENBURG - (COMPLIANCE DIRECTOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 08/05/2010
Last updated 02/01/2019 - About 7 years ago
Identifiers
NC License # HC3283
NC Medicaid 3418087
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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