Provider Demographics
NPI:1093259749
Name:S&F HOME HEALTH OPCO I, LLC
Entity Type:Organization
Organization Name:S&F HOME HEALTH OPCO I, LLC
Other - Org Name:AMERICAN HOMECARE HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:FEIGEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-385-1090
Mailing Address - Street 1:N. WHITNALL HWY
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-2951
Mailing Address - Country:US
Mailing Address - Phone:818-566-1020
Mailing Address - Fax:818-566-1030
Practice Address - Street 1:745 N WHITNALL HWY
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-2951
Practice Address - Country:US
Practice Address - Phone:818-566-1020
Practice Address - Fax:818-566-1030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-15
Last Update Date:2016-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA05-8089OtherMEDICARE PROVIDER #