Provider Demographics
NPI:1326753344
Name:AMERICAN HOMECARE SERVICES LLC
Entity Type:Organization
Organization Name:AMERICAN HOMECARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHANDRA
Authorized Official - Middle Name:B
Authorized Official - Last Name:MANGAR
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:559-268-2336
Mailing Address - Street 1:115 DUNDEE DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40517-1334
Mailing Address - Country:US
Mailing Address - Phone:859-368-2336
Mailing Address - Fax:
Practice Address - Street 1:115 DUNDEE DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40517-1334
Practice Address - Country:US
Practice Address - Phone:859-368-2336
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-16
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health