Provider Demographics
NPI:1366486581
Name:AMERICAN EMPIRE HOME HEALTH CARE SERVICES, INC
Entity Type:Organization
Organization Name:AMERICAN EMPIRE HOME HEALTH CARE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:RODOLFO
Authorized Official - Middle Name:ASUNCION
Authorized Official - Last Name:ZAMORA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-732-6542
Mailing Address - Street 1:2934 E GARVEY AVE S STE 214
Mailing Address - Street 2:
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91791-2178
Mailing Address - Country:US
Mailing Address - Phone:626-732-6542
Mailing Address - Fax:626-732-6543
Practice Address - Street 1:2934 E GARVEY AVE S STE 214
Practice Address - Street 2:
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91791
Practice Address - Country:US
Practice Address - Phone:626-732-6542
Practice Address - Fax:626-732-6543
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-16
Last Update Date:2018-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA980001315251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHHA08064GMedicaid
CA058064Medicare ID - Type Unspecified