Provider Demographics
NPI:1437486578
Name:AMERICAN HOME HEALTHCARE
Entity Type:Organization
Organization Name:AMERICAN HOME HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINSTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:L
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:NURSING ASS
Authorized Official - Phone:205-833-0507
Mailing Address - Street 1:2806 RUFFNER RD STE 202
Mailing Address - Street 2:
Mailing Address - City:IRONDALE
Mailing Address - State:AL
Mailing Address - Zip Code:35210-3927
Mailing Address - Country:US
Mailing Address - Phone:205-833-0507
Mailing Address - Fax:205-833-0508
Practice Address - Street 1:2806 RUFFNER RD STE 202
Practice Address - Street 2:
Practice Address - City:IRONDALE
Practice Address - State:AL
Practice Address - Zip Code:35210-3927
Practice Address - Country:US
Practice Address - Phone:205-833-0507
Practice Address - Fax:205-833-0508
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-10
Last Update Date:2009-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health