Provider Demographics
NPI:1376784793
Name:AMERICAN ALLIED HOME HEALTHCARE, INC
Entity Type:Organization
Organization Name:AMERICAN ALLIED HOME HEALTHCARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PEACE
Authorized Official - Middle Name:
Authorized Official - Last Name:GOODWILL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:773-704-1448
Mailing Address - Street 1:1313 W MORSE AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60626-3521
Mailing Address - Country:US
Mailing Address - Phone:773-704-1448
Mailing Address - Fax:
Practice Address - Street 1:1313 W MORSE AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60626-3521
Practice Address - Country:US
Practice Address - Phone:773-704-1448
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-14
Last Update Date:2009-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health