Provider Demographics
NPI:1760786313
Name:AMERIKA FAMILY HOME HEALTH AGENCY LLC
Entity Type:Organization
Organization Name:AMERIKA FAMILY HOME HEALTH AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-288-6575
Mailing Address - Street 1:1782 FRANKLIN AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43205-2216
Mailing Address - Country:US
Mailing Address - Phone:614-288-6575
Mailing Address - Fax:740-549-7570
Practice Address - Street 1:1782 FRANKLIN AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43205-2216
Practice Address - Country:US
Practice Address - Phone:614-288-6575
Practice Address - Fax:740-549-7570
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-22
Last Update Date:2010-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health