Provider Demographics
NPI:1508120437
Name:ALL AMERICAN HOME CARE
Entity Type:Organization
Organization Name:ALL AMERICAN HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:OMAR
Authorized Official - Middle Name:AHMMED
Authorized Official - Last Name:AWATH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-685-8048
Mailing Address - Street 1:5441 DUPONT AVE N
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN CENTER
Mailing Address - State:MN
Mailing Address - Zip Code:55430-3127
Mailing Address - Country:US
Mailing Address - Phone:763-566-0540
Mailing Address - Fax:763-566-0540
Practice Address - Street 1:5441 DUPONT AVE N
Practice Address - Street 2:
Practice Address - City:BROOKLYN CENTER
Practice Address - State:MN
Practice Address - Zip Code:55430-3127
Practice Address - Country:US
Practice Address - Phone:763-566-0540
Practice Address - Fax:763-566-0540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-26
Last Update Date:2012-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health