Provider Demographics
NPI:1508002932
Name:AMERICAN CARE HOMES, INC.
Entity Type:Organization
Organization Name:AMERICAN CARE HOMES, INC.
Other - Org Name:AHWATUKEE ADULT CARE (HOUSE1)
Other - Org Type:Doing Business As
Authorized Official - Title/Position:C.E.O./PRESIDENT/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:G
Authorized Official - Last Name:DATINGALING-PANALIGAN
Authorized Official - Suffix:
Authorized Official - Credentials:BSN, RN
Authorized Official - Phone:602-515-0783
Mailing Address - Street 1:3418 E INDIAN SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-5113
Mailing Address - Country:US
Mailing Address - Phone:602-515-0783
Mailing Address - Fax:
Practice Address - Street 1:9859 S 46TH ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85044-5534
Practice Address - Country:US
Practice Address - Phone:480-592-0058
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-07
Last Update Date:2009-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZALH-6858311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home