Provider Demographics
NPI:1568013100
Name:AMERICAN HOME HEALTH TEAM LLC
Entity Type:Organization
Organization Name:AMERICAN HOME HEALTH TEAM LLC
Other - Org Name:NON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ISMAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:MOHAMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-639-7888
Mailing Address - Street 1:2611 JEFFERSON DAVIS HWY STE 600
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22202-4016
Mailing Address - Country:US
Mailing Address - Phone:571-775-8911
Mailing Address - Fax:703-563-9615
Practice Address - Street 1:4242 CHAIN BRIDGE RD STE B
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-8146
Practice Address - Country:US
Practice Address - Phone:703-639-7888
Practice Address - Fax:703-995-4747
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-25
Last Update Date:2022-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health