Provider Demographics
NPI:1164533576
Name:AMERICAN HOME CARE INC
Entity Type:Organization
Organization Name:AMERICAN HOME CARE INC
Other - Org Name:AGAPE HOME HEALTH INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHERI
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:BLANCHARD
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:419-775-5908
Mailing Address - Street 1:777 SOUTH LAVER ROAD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:MANSFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44905-2307
Mailing Address - Country:US
Mailing Address - Phone:419-775-5908
Mailing Address - Fax:419-775-5911
Practice Address - Street 1:777 SOUTH LAVER ROAD
Practice Address - Street 2:SUITE 210
Practice Address - City:MANSFIELD
Practice Address - State:OH
Practice Address - Zip Code:44905-2307
Practice Address - Country:US
Practice Address - Phone:419-775-5908
Practice Address - Fax:419-775-5911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2009-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOH03216251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health