Provider Demographics
NPI:1497095186
Name:AAA IN-HOME HEALTH CARE
Entity Type:Organization
Organization Name:AAA IN-HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DESIGNATED MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:MOHAMED
Authorized Official - Last Name:DIRIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-951-8511
Mailing Address - Street 1:908 CARR ST APT C
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63101-1080
Mailing Address - Country:US
Mailing Address - Phone:314-951-8511
Mailing Address - Fax:314-762-0573
Practice Address - Street 1:908 CARR ST APT C
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63101-1080
Practice Address - Country:US
Practice Address - Phone:314-951-8511
Practice Address - Fax:314-762-0573
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO251E00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care