Provider Demographics
NPI:1851807002
Name:AMERIA HEALTH CARE, INC
Entity Type:Organization
Organization Name:AMERIA HEALTH CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MACK
Authorized Official - Middle Name:M
Authorized Official - Last Name:MCBORROUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-670-5044
Mailing Address - Street 1:5701 SHINGLE CREEK PKWY STE 500R
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN CENTER
Mailing Address - State:MN
Mailing Address - Zip Code:55430-2386
Mailing Address - Country:US
Mailing Address - Phone:763-432-3524
Mailing Address - Fax:763-432-3524
Practice Address - Street 1:5701 SHINGLE CREEK PKWY STE 500R
Practice Address - Street 2:
Practice Address - City:BROOKLYN CENTER
Practice Address - State:MN
Practice Address - Zip Code:55430-2386
Practice Address - Country:US
Practice Address - Phone:763-432-3524
Practice Address - Fax:763-432-3524
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-26
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN382220251E00000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN382220OtherHOME CARE LICENSE