Organization Active NPI

At Home Health Care Agency, LLC

  • Home Health Agency
  • Fort Wayne, IN
National Provider Identifier
1851658223
Registry record updated Apr 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
120127461 Issued in IN
Legal business name
AT HOME HEALTH CARE AGENCY, LLC
Practice address
3001 Fairfield Ave
Fort Wayne, IN 46807-1600
Phone
(260) 755-2727
Fax
(260) 755-2725
NPI assigned
Apr 23, 2012
Last updated
Apr 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2012

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

Authorized official

Name
Ms. Lititia Hatcher-Roque
Title
Ceo
Phone
(260) 755-2727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 120127461 IN Primary

Addresses

Primary practice location

3001 Fairfield Ave
Fort Wayne, IN 46807-1600

Mailing address

3001 Fairfield Ave
Fort Wayne, IN 46807-1600
Phone (260) 755-2727

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335139200000",
    "number": "1851658223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 FAIRFIELD AVE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468071600",
            "telephone_number": "260-755-2727",
            "fax_number": "260-755-2725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 FAIRFIELD AVE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468071600",
            "telephone_number": "260-755-2727",
            "fax_number": "260-755-2725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME HEALTH CARE AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-23",
        "last_updated": "2012-04-23",
        "status": "A",
        "authorized_official_last_name": "HATCHER-ROQUE",
        "authorized_official_first_name": "LITITIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "260-755-2727",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IN",
            "license": "120127461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; 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.