Provider Demographics
NPI:1386208080
Name:AQM HOME HEALTH, CORP
Entity Type:Organization
Organization Name:AQM HOME HEALTH, CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALI
Authorized Official - Middle Name:ALAIN
Authorized Official - Last Name:QUINONES CAMACHO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-524-5224
Mailing Address - Street 1:4350 W WATERS AVE #206
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614
Mailing Address - Country:US
Mailing Address - Phone:813-524-5224
Mailing Address - Fax:
Practice Address - Street 1:4350 W WATERS AVE #206
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614
Practice Address - Country:US
Practice Address - Phone:813-524-5224
Practice Address - Fax:813-524-5049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-28
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health