Provider Demographics
NPI:1295969939
Name:AMERICAN HEALTH CARE SERVICES INC
Entity type:Organization
Organization Name:AMERICAN HEALTH CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:ODIMEGWU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-529-3309
Mailing Address - Street 1:4427 7TH ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20017-2208
Mailing Address - Country:US
Mailing Address - Phone:202-529-3309
Mailing Address - Fax:202-379-1747
Practice Address - Street 1:4427 7TH ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20017-2208
Practice Address - Country:US
Practice Address - Phone:202-529-3309
Practice Address - Fax:202-379-1747
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-10
Last Update Date:2009-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC039735700Medicaid