Active NPI
At Home Health Care Agency, LLC
- Home Health Agency
- Fort Wayne, IN
National Provider Identifier
1851658223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 120127461
- 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, 2012
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.