Provider Demographics
NPI:1659899656
Name:AM-PM HOMES HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:AM-PM HOMES HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/DON
Authorized Official - Prefix:
Authorized Official - First Name:BETH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:317-429-9205
Mailing Address - Street 1:7920 GEORGETOWN RD
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46268-5632
Mailing Address - Country:US
Mailing Address - Phone:317-429-9205
Mailing Address - Fax:
Practice Address - Street 1:7920 GEORGETOWN RD
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46268-5632
Practice Address - Country:US
Practice Address - Phone:317-429-9205
Practice Address - Fax:317-429-9769
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN014070Medicaid