Provider Demographics
NPI:1104069186
Name:AMERICAN HOME CARE SERVICES INC.
Entity type:Organization
Organization Name:AMERICAN HOME CARE SERVICES INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:MYRINIA
Authorized Official - Last Name:HARDY-AVENS
Authorized Official - Suffix:
Authorized Official - Credentials:BS,MS,CRTT,RRT
Authorized Official - Phone:410-744-0986
Mailing Address - Street 1:1002 INGLESIDE AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-1319
Mailing Address - Country:US
Mailing Address - Phone:410-869-8818
Mailing Address - Fax:410-869-9882
Practice Address - Street 1:1002 INGLESIDE AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21228-1319
Practice Address - Country:US
Practice Address - Phone:410-869-8818
Practice Address - Fax:410-869-9882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-07
Last Update Date:2010-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR2017332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1164240001Medicare NSC