Provider Demographics
NPI:1821162405
Name:AMERICAN HOME HEALTH AGENCY, INC.
Entity Type:Organization
Organization Name:AMERICAN HOME HEALTH AGENCY, INC.
Other - Org Name:AMERICAN BEHAVIORAL HEALTH
Other - Org Type:Other Name
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:PRYCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-817-8088
Mailing Address - Street 1:5789 NW 151ST ST STE A
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-2424
Mailing Address - Country:US
Mailing Address - Phone:305-817-8088
Mailing Address - Fax:305-817-0992
Practice Address - Street 1:5789 NW 151ST ST STE A
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-2424
Practice Address - Country:US
Practice Address - Phone:305-817-8088
Practice Address - Fax:305-817-0992
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-17
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X, 251E00000X
FL299992629251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL651673400Medicaid
FL651673400Medicaid