Provider Demographics
NPI:1053668129
Name:ALL AMERICANIN-HOME CARE,LLC
Entity Type:Organization
Organization Name:ALL AMERICANIN-HOME CARE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:THEODORE
Authorized Official - Middle Name:
Authorized Official - Last Name:ELLIOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-471-5500
Mailing Address - Street 1:315 N NEW MADRID ST
Mailing Address - Street 2:
Mailing Address - City:SIKESTON
Mailing Address - State:MO
Mailing Address - Zip Code:63801-1928
Mailing Address - Country:US
Mailing Address - Phone:573-471-5500
Mailing Address - Fax:573-471-2224
Practice Address - Street 1:315 N NEW MADRID ST
Practice Address - Street 2:
Practice Address - City:SIKESTON
Practice Address - State:MO
Practice Address - Zip Code:63801-1928
Practice Address - Country:US
Practice Address - Phone:573-471-5500
Practice Address - Fax:573-471-2224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-08
Last Update Date:2012-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care