Provider Demographics
NPI:1154076115
Name:AMERICAN HOME HEALTH
Entity Type:Organization
Organization Name:AMERICAN HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JANELLE
Authorized Official - Middle Name:C
Authorized Official - Last Name:FULFS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-236-3501
Mailing Address - Street 1:1730 N FARNSWORTH AVE STE 1B
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60505-1584
Mailing Address - Country:US
Mailing Address - Phone:630-236-3501
Mailing Address - Fax:630-236-3505
Practice Address - Street 1:1730 N FARNSWORTH AVE STE 1B
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60505-1584
Practice Address - Country:US
Practice Address - Phone:630-236-3501
Practice Address - Fax:630-236-3505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-18
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care