Organization Active NPI

At Home Assisted Care LLC

  • Preferred Provider Organization
  • Monroe, LA
National Provider Identifier
1821236415
Registry record updated Feb 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
AT HOME ASSISTED CARE LLC
Practice address
1401 Hudson LN
Suite 206
Monroe, LA 71201-6068
Phone
(318) 807-0905
Fax
(318) 388-2163
NPI assigned
Feb 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2009

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

Authorized official

Name
Mr. Jason Stewart
Title
Executive Administrator
Phone
(318) 512-2304

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X LA Primary

Addresses

Primary practice location

1401 Hudson LN
Suite 206
Monroe, LA 71201-6068

Mailing address

1401 Hudson LN
Suite 206
Monroe, LA 71201-6068
Phone (318) 807-0905

National Provider Directory

National Provider Directory
Tax ID family
At Home Assisted Care LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233705600000",
    "number": "1821236415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 HUDSON LN",
            "address_2": "SUITE 206",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712016068",
            "telephone_number": "318-807-0905",
            "fax_number": "318-388-2163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 HUDSON LN",
            "address_2": "SUITE 206",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712016068",
            "telephone_number": "318-807-0905",
            "fax_number": "318-388-2163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME ASSISTED CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-04",
        "last_updated": "2009-02-04",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "EXECUTIVE ADMINISTRATOR",
        "authorized_official_telephone_number": "318-512-2304",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; 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.