Provider Demographics
NPI:1063829802
Name:AMERICAN ARCH HOMEHEALTH & PERSONAL ASSISTANCE CARE AGENCY LLC
Entity Type:Organization
Organization Name:AMERICAN ARCH HOMEHEALTH & PERSONAL ASSISTANCE CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINSTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHAHBAA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAIDAN
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:915-496-3083
Mailing Address - Street 1:469 EMERALD BLUFF DR
Mailing Address - Street 2:
Mailing Address - City:HORIZON CITY
Mailing Address - State:TX
Mailing Address - Zip Code:79928-6470
Mailing Address - Country:US
Mailing Address - Phone:915-496-3083
Mailing Address - Fax:915-496-3083
Practice Address - Street 1:469 EMERALD BLUFF DR
Practice Address - Street 2:
Practice Address - City:HORIZON CITY
Practice Address - State:TX
Practice Address - Zip Code:79928-6470
Practice Address - Country:US
Practice Address - Phone:915-496-3083
Practice Address - Fax:915-496-3083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-14
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No343800000XTransportation ServicesSecured Medical Transport (VAN)