Provider Demographics
NPI:1629134150
Name:AMERICAN MEDICAL HOME HEALTH SERVICES - EL PASO, LLC.
Entity Type:Organization
Organization Name:AMERICAN MEDICAL HOME HEALTH SERVICES - EL PASO, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:DOJONOVIC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-684-4550
Mailing Address - Street 1:435 DONNER AVE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:MONESSEN
Mailing Address - State:PA
Mailing Address - Zip Code:15062-1183
Mailing Address - Country:US
Mailing Address - Phone:724-684-4550
Mailing Address - Fax:724-684-5944
Practice Address - Street 1:4609 APOLLO AVE
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79904-3702
Practice Address - Country:US
Practice Address - Phone:915-757-2734
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPENDING251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health