Provider Demographics
NPI:1043613177
Name:AMERICAN HOME CARE CENTER LLC
Entity Type:Organization
Organization Name:AMERICAN HOME CARE CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:ABDULLAHI
Authorized Official - Last Name:IGGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-787-2559
Mailing Address - Street 1:953 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43205-2309
Mailing Address - Country:US
Mailing Address - Phone:614-252-2030
Mailing Address - Fax:614-252-2055
Practice Address - Street 1:953 E MAIN ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43205-2309
Practice Address - Country:US
Practice Address - Phone:614-252-2030
Practice Address - Fax:614-252-2055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-03
Last Update Date:2014-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health