Provider Demographics
NPI:1356695977
Name:AAA REFERRAL & HOME HEALTH CORP.
Entity type:Organization
Organization Name:AAA REFERRAL & HOME HEALTH CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:BRUMBAUGH
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:352-742-0034
Mailing Address - Street 1:1307 E ALFRED ST
Mailing Address - Street 2:
Mailing Address - City:TAVARES
Mailing Address - State:FL
Mailing Address - Zip Code:32778-3505
Mailing Address - Country:US
Mailing Address - Phone:352-742-0034
Mailing Address - Fax:352-742-1211
Practice Address - Street 1:1307 E ALFRED ST
Practice Address - Street 2:
Practice Address - City:TAVARES
Practice Address - State:FL
Practice Address - Zip Code:32778-3505
Practice Address - Country:US
Practice Address - Phone:352-742-0034
Practice Address - Fax:352-742-1211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-05
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL20021096251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health