Provider Demographics
NPI:1033754494
Name:AT HOME CARE PARTNERS, INC.
Entity type:Organization
Organization Name:AT HOME CARE PARTNERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:G
Authorized Official - Last Name:NEANDER
Authorized Official - Suffix:
Authorized Official - Credentials:RN MS
Authorized Official - Phone:607-432-7924
Mailing Address - Street 1:25 ELM ST
Mailing Address - Street 2:
Mailing Address - City:ONEONTA
Mailing Address - State:NY
Mailing Address - Zip Code:13820-1815
Mailing Address - Country:US
Mailing Address - Phone:607-432-7924
Mailing Address - Fax:
Practice Address - Street 1:25 ELM ST
Practice Address - Street 2:
Practice Address - City:ONEONTA
Practice Address - State:NY
Practice Address - Zip Code:13820-1815
Practice Address - Country:US
Practice Address - Phone:607-432-7924
Practice Address - Fax:607-432-5836
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-08
Last Update Date:2019-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02813243Medicaid