At Home Assisted Living Services, L.L.C.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

10-012292-1 Issued in IN

Legal business name

AT HOME ASSISTED LIVING SERVICES, L.L.C.

Practice address

1216 Meridian St
Anderson, IN 46016-1715

Phone

(765) 621-2992

Fax

(765) 274-4555

NPI assigned

Jan 4, 2011

Last updated

Sep 17, 2014By 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

Troy Jones

Title

Administrator

Phone

(765) 621-2992

Specialties & licenses 1

Addresses

Other names 1

• At Home Other name

Locations

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410912000000",
    "number": "1740584820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 MERIDIAN ST",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460161715",
            "telephone_number": "765-621-2992",
            "fax_number": "765-274-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 MERIDIAN ST",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460161715",
            "telephone_number": "765-621-2992",
            "fax_number": "765-274-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME ASSISTED LIVING SERVICES, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-04",
        "last_updated": "2014-09-17",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "765-621-2992"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IN",
            "license": "10-012292-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "At Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; 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.