Provider Demographics
NPI:1659138824
Name:AAA HOME HEALTHCARE LLC
Entity Type:Organization
Organization Name:AAA HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RAHSAAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LOURIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-214-1983
Mailing Address - Street 1:25 WOODS LAKE RD STE 318
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607-2762
Mailing Address - Country:US
Mailing Address - Phone:864-472-2269
Mailing Address - Fax:
Practice Address - Street 1:25 WOODS LAKE RD STE 318
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-2762
Practice Address - Country:US
Practice Address - Phone:864-472-2269
Practice Address - Fax:864-964-7851
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-04
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty