Provider Demographics
NPI:1083323067
Name:A & H HOME-CARE LLC
Entity Type:Organization
Organization Name:A & H HOME-CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:OWOLABI
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:SHABIOLEGBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-991-9250
Mailing Address - Street 1:3013 W POLLACK ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85041-6380
Mailing Address - Country:US
Mailing Address - Phone:612-991-9250
Mailing Address - Fax:
Practice Address - Street 1:3013 W POLLACK ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85041-6380
Practice Address - Country:US
Practice Address - Phone:612-991-9250
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-18
Last Update Date:2022-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness