Provider Demographics
NPI:1124815436
Name:AT HOME HEALERS HOME HEALTH CARE LLC
Entity type:Organization
Organization Name:AT HOME HEALERS HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHANTELL
Authorized Official - Middle Name:
Authorized Official - Last Name:SALTER-BOONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:260-702-0897
Mailing Address - Street 1:7230 ENGLE RD STE 205
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46804-2234
Mailing Address - Country:US
Mailing Address - Phone:260-702-0897
Mailing Address - Fax:260-209-5141
Practice Address - Street 1:7230 ENGLE RD STE 205
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46804-2234
Practice Address - Country:US
Practice Address - Phone:260-702-0897
Practice Address - Fax:260-209-5141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-21
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health