Provider Demographics
NPI:1982669149
Name:AMERICA HOME HEALTH, INC.
Entity Type:Organization
Organization Name:AMERICA HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SULMAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:BONILLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-492-1700
Mailing Address - Street 1:6595 NW 36TH ST
Mailing Address - Street 2:SUITE 222-3
Mailing Address - City:VIRGINIA GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33166-6979
Mailing Address - Country:US
Mailing Address - Phone:305-492-1700
Mailing Address - Fax:305-492-1491
Practice Address - Street 1:6595 NW 36TH ST
Practice Address - Street 2:SUITE 222-3
Practice Address - City:VIRGINIA GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33166-6979
Practice Address - Country:US
Practice Address - Phone:305-492-1700
Practice Address - Fax:305-492-1491
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL108231Medicare ID - Type Unspecified