Provider Demographics
NPI:1891530671
Name:AA&G HOME HEALTHCARE LLC
Entity type:Organization
Organization Name:AA&G HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:BERTRAND
Authorized Official - Middle Name:
Authorized Official - Last Name:BATE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-468-3861
Mailing Address - Street 1:1255 RIO BRAVO RD
Mailing Address - Street 2:
Mailing Address - City:JUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:76247-7080
Mailing Address - Country:US
Mailing Address - Phone:240-468-3861
Mailing Address - Fax:
Practice Address - Street 1:1255 RIO BRAVO RD
Practice Address - Street 2:
Practice Address - City:JUSTIN
Practice Address - State:TX
Practice Address - Zip Code:76247-7080
Practice Address - Country:US
Practice Address - Phone:240-468-3861
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-25
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health