Provider Demographics
NPI:1528188851
Name:A M HEALTHCARE ENTERPRISES, LTD.
Entity Type:Organization
Organization Name:A M HEALTHCARE ENTERPRISES, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:R
Authorized Official - Last Name:BOWLSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-831-6400
Mailing Address - Street 1:3837 VAILE AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:FLORISSANT
Mailing Address - State:MO
Mailing Address - Zip Code:63034-2210
Mailing Address - Country:US
Mailing Address - Phone:314-831-6400
Mailing Address - Fax:
Practice Address - Street 1:3837 VAILE AVE
Practice Address - Street 2:SUITE A
Practice Address - City:FLORISSANT
Practice Address - State:MO
Practice Address - Zip Code:63034-2210
Practice Address - Country:US
Practice Address - Phone:314-831-6400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-30
Last Update Date:2008-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO269733606Medicaid
MO289733602Medicaid