- Enrollment id
- O20021122000011
- Enrollment state
- VA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1376509430
- Multiple npi flag
- N
- Ccn
- 497493
- Associate id
- 6507774809
- Organization name
- ADVANCED TECHNOLOGIES IN HOME CARE, INC.
- Doing business as name
- AT HOME CARE
- Incorporation date
- 1994-11-01
- Incorporation state
- VA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 8149 WALNUT GROVE RD
- City
- MECHANICSVILLE
- State
- VA
- Zip code
- 231114517