Provider Demographics
NPI:1912358904
Name:AMERICAN HELATH SERVICES
Entity Type:Organization
Organization Name:AMERICAN HELATH SERVICES
Other - Org Name:AMERICAN HELATH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LVN NURSE
Authorized Official - Prefix:
Authorized Official - First Name:LATOYA
Authorized Official - Middle Name:MYSHAWN
Authorized Official - Last Name:HICKS
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:323-653-1677
Mailing Address - Street 1:1524 W 227TH ST APT 1
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90501-4917
Mailing Address - Country:US
Mailing Address - Phone:323-509-8054
Mailing Address - Fax:
Practice Address - Street 1:1524 W 227TH ST APT 1
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90501-4917
Practice Address - Country:US
Practice Address - Phone:323-509-8054
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AMERICAN HELATH SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-06-30
Last Update Date:2016-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN228146310500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310500000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Mental Illness