Provider Demographics
NPI:1427941327
Name:ATHOME ADVANTAGE CARE LLC
Entity type:Organization
Organization Name:ATHOME ADVANTAGE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:TENG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-542-2736
Mailing Address - Street 1:1612 SIENNA CT
Mailing Address - Street 2:
Mailing Address - City:INDIAN CREEK
Mailing Address - State:IL
Mailing Address - Zip Code:60061-3282
Mailing Address - Country:US
Mailing Address - Phone:847-542-2736
Mailing Address - Fax:
Practice Address - Street 1:1612 SIENNA CT
Practice Address - Street 2:
Practice Address - City:INDIAN CREEK
Practice Address - State:IL
Practice Address - Zip Code:60061-3282
Practice Address - Country:US
Practice Address - Phone:847-542-2736
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-30
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care