Provider Demographics
NPI:1104393693
Name:AIMIGO HOME HEALTH, LLC
Entity Type:Organization
Organization Name:AIMIGO HOME HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:AVILA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:719-924-9458
Mailing Address - Street 1:1208 EAGLERIDGE BLVD STE D
Mailing Address - Street 2:
Mailing Address - City:PUEBLO
Mailing Address - State:CO
Mailing Address - Zip Code:81008-2329
Mailing Address - Country:US
Mailing Address - Phone:719-924-9458
Mailing Address - Fax:719-924-8904
Practice Address - Street 1:1208 EAGLERIDGE BLVD STE D
Practice Address - Street 2:
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81008-2329
Practice Address - Country:US
Practice Address - Phone:719-924-9458
Practice Address - Fax:719-924-8904
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-01
Last Update Date:2019-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care