Provider Demographics
NPI:1528742426
Name:AHN LLC
Entity type:Organization
Organization Name:AHN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MERCEDES
Authorized Official - Middle Name:C
Authorized Official - Last Name:RODRIGUEZ RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:RBT, RN, CBHCM
Authorized Official - Phone:786-222-1289
Mailing Address - Street 1:3901 NW 79TH AVE STE 120
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33166-6554
Mailing Address - Country:US
Mailing Address - Phone:786-310-4480
Mailing Address - Fax:786-364-0253
Practice Address - Street 1:3901 NW 79TH AVE STE 120
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-6554
Practice Address - Country:US
Practice Address - Phone:786-310-4480
Practice Address - Fax:786-364-0253
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-12
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management