Provider Demographics
NPI:1316945033
Name:AMERICAN HOME HEALTH SERVICES, INC
Entity type:Organization
Organization Name:AMERICAN HOME HEALTH SERVICES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:R
Authorized Official - Last Name:PACKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-946-5411
Mailing Address - Street 1:201 CHESTNUT AVE
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:PA
Mailing Address - Zip Code:16601-4927
Mailing Address - Country:US
Mailing Address - Phone:814-946-5411
Mailing Address - Fax:814-940-8471
Practice Address - Street 1:159 CROCKER PARK BLVD
Practice Address - Street 2:SUITE 400
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-1502
Practice Address - Country:US
Practice Address - Phone:440-614-0145
Practice Address - Fax:440-614-0149
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:QUALITY FIRST HEALTHCARE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-07-07
Last Update Date:2013-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2063038Medicaid
OH367738Medicare ID - Type UnspecifiedHOME HEALTH AGENCY