| Organization Name: | AT HOME HEALTHCARE AND HOSPICE LLC |
| NPI Number: | 1104031863 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JESSICA KLEBERG (VP LEGAL AFFAIRS) |
| Mailing Address: | 1051 Culpepper Dr Sw Ste 100 Conyers |
| State: | GA US |
| Postal Code: | 300945986 |
| Phone Number: | 6784131360 |
| Fax Number: | 6784131359 |
| NPI Enumeration Date: | 05/14/2007 |
| NPI Last Update Date: | 02/01/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 122-0292-H |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |