Provider Demographics
NPI:1285963876
Name:AK HOME HEALTH CARE, LLC
Entity type:Organization
Organization Name:AK HOME HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:M
Authorized Official - Last Name:DIRIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-951-8511
Mailing Address - Street 1:39 HOMEPLATE CT
Mailing Address - Street 2:
Mailing Address - City:O FALLON
Mailing Address - State:MO
Mailing Address - Zip Code:63366-2040
Mailing Address - Country:US
Mailing Address - Phone:314-951-8511
Mailing Address - Fax:314-776-6261
Practice Address - Street 1:39 HOMEPLATE CT
Practice Address - Street 2:
Practice Address - City:O FALLON
Practice Address - State:MO
Practice Address - Zip Code:63366-2040
Practice Address - Country:US
Practice Address - Phone:314-951-8511
Practice Address - Fax:314-776-6261
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-10
Last Update Date:2009-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health