Provider Demographics
NPI:1770002073
Name:AMERICAN HOME CARE FACILITY, INC.
Entity Type:Organization
Organization Name:AMERICAN HOME CARE FACILITY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMIN.
Authorized Official - Prefix:
Authorized Official - First Name:YULIER
Authorized Official - Middle Name:
Authorized Official - Last Name:VIAMONTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-488-9226
Mailing Address - Street 1:6960 SW 155TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33193-2122
Mailing Address - Country:US
Mailing Address - Phone:786-488-9226
Mailing Address - Fax:305-456-6515
Practice Address - Street 1:6960 SW 155TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33193-2122
Practice Address - Country:US
Practice Address - Phone:786-488-9226
Practice Address - Fax:305-456-6515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL13062310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility