Provider Demographics
NPI:1518364090
Name:AMERICAN HOME HEALTH AGENCY, INC.
Entity Type:Organization
Organization Name:AMERICAN HOME HEALTH AGENCY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:PRYCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-817-8088
Mailing Address - Street 1:4801 SOUTH UNIVERSITY DRIVE
Mailing Address - Street 2:SUITE 206
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33328-3835
Mailing Address - Country:US
Mailing Address - Phone:305-817-8088
Mailing Address - Fax:305-817-0992
Practice Address - Street 1:4801 SOUTH UNIVERSITY DRIVE
Practice Address - Street 2:SUITE 206
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33328-3835
Practice Address - Country:US
Practice Address - Phone:305-817-8088
Practice Address - Fax:305-817-0992
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-26
Last Update Date:2020-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL299994426OtherAHCA LICENSE#