Provider Demographics
NPI:1336294933
Name:AMERICAN MEDEX HOME HEALTH SERVICES,INC
Entity Type:Organization
Organization Name:AMERICAN MEDEX HOME HEALTH SERVICES,INC
Other - Org Name:AMERICAN MEDEX, INC
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:LOU
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-574-1444
Mailing Address - Street 1:1501 STATE ROUTE 522 UNIT A
Mailing Address - Street 2:
Mailing Address - City:WHEELERSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45694-7815
Mailing Address - Country:US
Mailing Address - Phone:740-574-1444
Mailing Address - Fax:740-574-6669
Practice Address - Street 1:1501 STATE ROUTE 522 UNIT A
Practice Address - Street 2:
Practice Address - City:WHEELERSBURG
Practice Address - State:OH
Practice Address - Zip Code:45694-7815
Practice Address - Country:US
Practice Address - Phone:740-574-1444
Practice Address - Fax:740-574-6669
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH412214OtherPROVIDER LOCATION ID
OH411504OtherPROVIDER # FOR AREA AGENC
OH0951804Medicaid