At Home Personal Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

AT HOME PERSONAL CARE LLC

Practice address

W175N11163 Stonewood Dr Ste 290
Germantown, WI 53022-6500

Phone

(262) 245-3301

Fax

(262) 245-3302

NPI assigned

Jan 16, 2019

Last updated

Jan 16, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jong Xiong

Title

Administrator

Phone

(414) 704-9114

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547596800000",
    "number": "1275007866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W175N11163 STONEWOOD DR STE 290",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530226500",
            "telephone_number": "262-245-3301",
            "fax_number": "262-245-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W175N11163 STONEWOOD DR STE 290",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530226500",
            "telephone_number": "262-245-3301",
            "fax_number": "262-245-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME PERSONAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-16",
        "last_updated": "2019-01-16",
        "status": "A",
        "authorized_official_last_name": "XIONG",
        "authorized_official_first_name": "JONG",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "414-704-9114"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.