Provider Demographics
NPI:1598951725
Name:AMERIHEALTH HOME CARE AGENCY, LLC.
Entity Type:Organization
Organization Name:AMERIHEALTH HOME CARE AGENCY, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARISA
Authorized Official - Middle Name:M
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-596-0137
Mailing Address - Street 1:8603 S DIXIE HWY STE 401
Mailing Address - Street 2:
Mailing Address - City:PINECREST
Mailing Address - State:FL
Mailing Address - Zip Code:33156-1196
Mailing Address - Country:US
Mailing Address - Phone:305-596-0137
Mailing Address - Fax:786-621-0634
Practice Address - Street 1:8603 S DIXIE HWY STE 401
Practice Address - Street 2:
Practice Address - City:PINECREST
Practice Address - State:FL
Practice Address - Zip Code:33156-1196
Practice Address - Country:US
Practice Address - Phone:305-596-0137
Practice Address - Fax:786-621-0634
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-20
Last Update Date:2020-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health