Provider Demographics
NPI:1427328004
Name:AMERICAN MEDICAL HOMECARE ALLIANCE INC.
Entity type:Organization
Organization Name:AMERICAN MEDICAL HOMECARE ALLIANCE INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:E
Authorized Official - Last Name:NORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-485-6166
Mailing Address - Street 1:746 E WINCHESTER ST STE 200
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84107-8513
Mailing Address - Country:US
Mailing Address - Phone:801-485-6166
Mailing Address - Fax:801-531-1949
Practice Address - Street 1:1410 W GUADALUPE RD BLDG 2
Practice Address - Street 2:SUITE 109B
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85233-3039
Practice Address - Country:US
Practice Address - Phone:480-597-3661
Practice Address - Fax:480-597-3660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-12
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZHHA9581OtherHOME HEALTH LICENSE
AZ812802Medicaid