Provider Demographics
NPI:1912184896
Name:A AMERICAN HOMECARE AND COMMUNITY SERVICES,LLC
Entity Type:Organization
Organization Name:A AMERICAN HOMECARE AND COMMUNITY SERVICES,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VINOD
Authorized Official - Middle Name:R
Authorized Official - Last Name:SOHINI
Authorized Official - Suffix:
Authorized Official - Credentials:LPT
Authorized Official - Phone:936-632-3001
Mailing Address - Street 1:402 S JOHN REDDITT DR # 203
Mailing Address - Street 2:
Mailing Address - City:LUFKIN
Mailing Address - State:TX
Mailing Address - Zip Code:75904-3107
Mailing Address - Country:US
Mailing Address - Phone:936-632-3000
Mailing Address - Fax:936-632-3001
Practice Address - Street 1:402 S JOHN REDDITT DR # 203
Practice Address - Street 2:
Practice Address - City:LUFKIN
Practice Address - State:TX
Practice Address - Zip Code:75904-3107
Practice Address - Country:US
Practice Address - Phone:936-632-3000
Practice Address - Fax:936-632-3001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-23
Last Update Date:2015-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX011564251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX743163Medicare PIN