Provider Demographics
NPI:1588909808
Name:AM HOME HEALTH CARE, LLP
Entity type:Organization
Organization Name:AM HOME HEALTH CARE, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KHALIF
Authorized Official - Middle Name:A
Authorized Official - Last Name:HUSSEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:260-447-4928
Mailing Address - Street 1:3601 HOBSON RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46815-4527
Mailing Address - Country:US
Mailing Address - Phone:260-471-9191
Mailing Address - Fax:
Practice Address - Street 1:2021 CHARTWELL DR
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46816-1384
Practice Address - Country:US
Practice Address - Phone:260-447-4928
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-28
Last Update Date:2014-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health