Provider Demographics
NPI:1093768996
Name:AMERICAN MEDICAL HOME HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:AMERICAN MEDICAL HOME HEALTH SERVICES LLC
Other - Org Name:AMERICAN MEDICAL HOME HEALTH SERVICES-MATHIS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:DOJONOVIC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-684-4550
Mailing Address - Street 1:506 VALLEY BROOK ROAD
Mailing Address - Street 2:STE 201
Mailing Address - City:MCMURRAY
Mailing Address - State:PA
Mailing Address - Zip Code:15317-9610
Mailing Address - Country:US
Mailing Address - Phone:724-684-4550
Mailing Address - Fax:724-684-5944
Practice Address - Street 1:AMERICAN MEDICAL HOME HEALTH SERVICES
Practice Address - Street 2:206 W. CORPUS CHRISTI ST.
Practice Address - City:BEEVILLE
Practice Address - State:TX
Practice Address - Zip Code:78102
Practice Address - Country:US
Practice Address - Phone:361-547-5655
Practice Address - Fax:361-547-0304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2021-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX007438251E00000X, 251E00000X
3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1705600Medicaid
TX001015020Medicaid
TX001003876Medicaid
TX001015020Medicaid