Provider Demographics
NPI:1629584487
Name:AMERICAN CARE HOME LLC
Entity Type:Organization
Organization Name:AMERICAN CARE HOME LLC
Other - Org Name:AMERICAN CARE HOME LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:DIWASH
Authorized Official - Middle Name:
Authorized Official - Last Name:POKHAREL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:432-935-3808
Mailing Address - Street 1:8812 DOVE DR
Mailing Address - Street 2:
Mailing Address - City:PERRY HALL
Mailing Address - State:MD
Mailing Address - Zip Code:21128-9000
Mailing Address - Country:US
Mailing Address - Phone:432-935-3808
Mailing Address - Fax:
Practice Address - Street 1:8812 DOVE DR
Practice Address - Street 2:
Practice Address - City:PERRY HALL
Practice Address - State:MD
Practice Address - Zip Code:21128-9000
Practice Address - Country:US
Practice Address - Phone:432-935-3808
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-15
Last Update Date:2018-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty