Organization Active NPI

At Home Medical Care LLC

  • Home Health Agency
  • Tucson, AZ
National Provider Identifier
1184937153
Registry record updated Jul 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
AP3427 Issued in AZ
Legal business name
AT HOME MEDICAL CARE LLC
Practice address
3901 W Oasis Dr
Tucson, AZ 85742-9513
Phone
(520) 940-1119
Fax
(520) 744-6697
NPI assigned
Jul 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michelle Rafferty, RN MSN ANP BCNPI 1770715070
Title
Owner/Provider
Phone
(520) 940-1119

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X AP3427 AZ Primary

Addresses

Primary practice location

3901 W Oasis Dr
Tucson, AZ 85742-9513

Mailing address

3901 W Oasis Dr
Tucson, AZ 85742-9513
Phone (520) 940-1119

Other identifiers 1

IdentifierTypeStateIssuer
1770715070OtherAZINDIVIDUAL NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100920000856 AZ Part B Supplier - Clinic/Group Practice 5799800371 Receives reassigned benefits from 1 practitioner
Practice locations: Tucson, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279584000000",
    "number": "1184937153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 W OASIS DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857429513",
            "telephone_number": "520-940-1119",
            "fax_number": "520-744-6697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 W OASIS DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857429513",
            "telephone_number": "520-940-1119",
            "fax_number": "520-744-6697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME MEDICAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-20",
        "last_updated": "2010-07-20",
        "status": "A",
        "authorized_official_last_name": "RAFFERTY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "520-940-1119",
        "authorized_official_credential": "RN MSN ANP BC"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": "AP3427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NUMBER",
            "identifier": "1770715070",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.