Provider Demographics
NPI:1699834812
Name:AMERICAN HEALTH LLC
Entity type:Organization
Organization Name:AMERICAN HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SALLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:STROUD
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:252-972-4040
Mailing Address - Street 1:PO BOX 9005
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27804-7005
Mailing Address - Country:US
Mailing Address - Phone:252-972-4040
Mailing Address - Fax:252-972-4041
Practice Address - Street 1:173 S WINSTEAD AVE
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27804-3420
Practice Address - Country:US
Practice Address - Phone:252-972-4040
Practice Address - Fax:252-972-4041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC2524163WH0200X, 311ZA0620X, 3140N1450X, 320700000X, 320800000X, 320900000X, 373H00000X, 374700000X, 3747A0650X, 3747P1801X, 376K00000X, 385HR2055X, 385HR2065X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty
Not Answered311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care HomeGroup - Single Specialty
Not Answered3140N1450XNursing & Custodial Care FacilitiesSkilled Nursing FacilityNursing Care, PediatricGroup - Single Specialty
Not Answered320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities
Not Answered320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
Not Answered320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Not Answered373H00000XNursing Service Related ProvidersDay Training/Habilitation SpecialistGroup - Single Specialty
Not Answered374700000XNursing Service Related ProvidersTechnicianGroup - Single Specialty
Not Answered3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Single Specialty
Not Answered3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
Not Answered376K00000XNursing Service Related ProvidersNurse's AideGroup - Single Specialty
Not Answered385HR2055XRespite Care FacilityRespite CareRespite Care, Mental Illness, ChildGroup - Single Specialty
Not Answered385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, ChildGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3409678OtherCAP
NC6601055Medicaid