Provider Demographics
NPI:1376288282
Name:AMERICAN PATRIOT HOME CARE, LLC
Entity Type:Organization
Organization Name:AMERICAN PATRIOT HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:HOMRIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-228-4800
Mailing Address - Street 1:601 GARDEN BLVD
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62220-3661
Mailing Address - Country:US
Mailing Address - Phone:618-228-4800
Mailing Address - Fax:
Practice Address - Street 1:106 LINCOLN PLACE CT
Practice Address - Street 2:
Practice Address - City:BELLEVILLE
Practice Address - State:IL
Practice Address - Zip Code:62221-5884
Practice Address - Country:US
Practice Address - Phone:618-228-4800
Practice Address - Fax:618-352-1818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-04
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care