Provider Demographics
NPI:1790015956
Name:AMERICAN QUALITY HOME HEALTH CARE SERVICE LLC
Entity Type:Organization
Organization Name:AMERICAN QUALITY HOME HEALTH CARE SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANOMAH
Authorized Official - Middle Name:I
Authorized Official - Last Name:NGU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-690-3475
Mailing Address - Street 1:811 EDGEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:KELLER
Mailing Address - State:TX
Mailing Address - Zip Code:76248-5472
Mailing Address - Country:US
Mailing Address - Phone:817-690-3475
Mailing Address - Fax:
Practice Address - Street 1:811 EDGEWOOD DR
Practice Address - Street 2:
Practice Address - City:KELLER
Practice Address - State:TX
Practice Address - Zip Code:76248-5472
Practice Address - Country:US
Practice Address - Phone:817-690-3475
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-11
Last Update Date:2010-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care