At Home Care L.L.C.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

004895 Issued in TX

Legal business name

AT HOME CARE L.L.C.

Practice address

1109 Brook Ave
Wichita Falls, TX 76301-5008

Phone

(940) 766-4663

Fax

(940) 766-2236

NPI assigned

Jun 23, 2005

Organization subpart

No

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

Authorized official

Name

Charlene E Clute, RN

Title

Owner/Administrator

Phone

(940) 766-4663

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Home health agency certification: CCN 459071

Legal name

AT HOME CARE L.L.C.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jan 7, 1997

Last certification

Feb 26, 2020

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Enrollment address

1109 Brook Ave
Wichita Falls, TX 76301-5008

Listed as

At Home Care LLCCCN 459071 · All quality measures

Ownership

Proprietary

Certified

Jan 7, 1997

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225034390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1373",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763071373",
            "telephone_number": "940-766-4663",
            "fax_number": "940-766-2236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 BROOK AVE",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763015008",
            "telephone_number": "940-766-4663",
            "fax_number": "940-766-2236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME CARE L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLUTE",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "940-766-4663",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "004895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000854200",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "HH8973",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000023300",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.