Provider Demographics
NPI:1295788289
Name:AMERICAN MEDICAL HOME HEALTH SERVICES - SAN ANTONIO LLC
Entity type:Organization
Organization Name:AMERICAN MEDICAL HOME HEALTH SERVICES - SAN ANTONIO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:DOJONOVIC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-684-4550
Mailing Address - Street 1:506 VALLEY BROOK ROAD
Mailing Address - Street 2:STE 201
Mailing Address - City:MCMURRAY
Mailing Address - State:PA
Mailing Address - Zip Code:15317-9610
Mailing Address - Country:US
Mailing Address - Phone:724-684-4550
Mailing Address - Fax:724-684-5944
Practice Address - Street 1:5805 CALLAGHAN RD STE 300
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78228-1127
Practice Address - Country:US
Practice Address - Phone:210-735-6225
Practice Address - Fax:210-736-1089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
253Z00000X, 3747P1801X
TX009369251E00000X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001026026OtherPHC CONTRACT
TX1777237Medicaid
TX001026026OtherPHC CONTRACT