Provider Demographics
NPI:1972509149
Name:A I T HOME HEALTH INC
Entity Type:Organization
Organization Name:A I T HOME HEALTH INC
Other - Org Name:ALLIANCE HOME HEALTH CARE INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CO OWNER
Authorized Official - Prefix:
Authorized Official - First Name:COLLETTA
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-337-1064
Mailing Address - Street 1:6238 PRESIDENTIAL CT
Mailing Address - Street 2:1A
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33919
Mailing Address - Country:US
Mailing Address - Phone:239-337-1064
Mailing Address - Fax:239-337-1065
Practice Address - Street 1:6238 PRESIDENTIAL CT
Practice Address - Street 2:1A
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33919
Practice Address - Country:US
Practice Address - Phone:239-337-1064
Practice Address - Fax:239-337-1065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-22
Last Update Date:2007-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL7956675OtherAETNA PROVIDER NUMBER
FLJN6OtherBLUE CROSS PROVIDER NUMBE
FL107681Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER