Provider Demographics
NPI:1659463115
Name:AMERICA'S HOME HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:AMERICA'S HOME HEALTH SERVICES, LLC
Other - Org Name:LIBERTY HOME HEALTH SERVICES, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VAN
Authorized Official - Middle Name:CHAU
Authorized Official - Last Name:THACH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-622-5309
Mailing Address - Street 1:3556 SULLIVANT AVENUE
Mailing Address - Street 2:SUITE 205
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43204-1153
Mailing Address - Country:US
Mailing Address - Phone:614-274-0400
Mailing Address - Fax:614-274-0403
Practice Address - Street 1:3556 SULLIVANT AVENUE
Practice Address - Street 2:SUITE 205
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43204-1153
Practice Address - Country:US
Practice Address - Phone:614-274-0400
Practice Address - Fax:614-274-0403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-29
Last Update Date:2011-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1510321251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2587295Medicaid
OH36-8109Medicare PIN