Provider Demographics
NPI:1760021521
Name:AERMED HEALTH LLC
Entity Type:Organization
Organization Name:AERMED HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:
Authorized Official - Last Name:FORDHAM
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:804-305-7131
Mailing Address - Street 1:2078 SCENIC GULF DR LOT 24
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32550-3207
Mailing Address - Country:US
Mailing Address - Phone:804-305-7131
Mailing Address - Fax:
Practice Address - Street 1:2078 SCENIC GULF DR LOT 24
Practice Address - Street 2:
Practice Address - City:MIRAMAR BEACH
Practice Address - State:FL
Practice Address - Zip Code:32550-3207
Practice Address - Country:US
Practice Address - Phone:804-305-7131
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-27
Last Update Date:2019-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty