Provider Demographics
NPI:1477279719
Name:AMERICAN HEALTH FOUNDATION
Entity Type:Organization
Organization Name:AMERICAN HEALTH FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:J. MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HAEMMERLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-798-5110
Mailing Address - Street 1:5920 VENTURE DR
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-2166
Mailing Address - Country:US
Mailing Address - Phone:614-760-7352
Mailing Address - Fax:
Practice Address - Street 1:5920 VENTURE DR
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-2166
Practice Address - Country:US
Practice Address - Phone:614-760-7352
Practice Address - Fax:614-760-7356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-18
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility