Provider Demographics
NPI:1457635948
Name:AA HOME HEALTH CARE SERVICES
Entity Type:Organization
Organization Name:AA HOME HEALTH CARE SERVICES
Other - Org Name:YES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:ABRIN
Authorized Official - Last Name:DARDEN
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:817-647-5791
Mailing Address - Street 1:503 CARSWELL TER
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76010-4440
Mailing Address - Country:US
Mailing Address - Phone:817-647-5791
Mailing Address - Fax:
Practice Address - Street 1:503 CARSWELL TER
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76010-4440
Practice Address - Country:US
Practice Address - Phone:817-647-5791
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:YES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-10-03
Last Update Date:2011-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXNA03692271320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities