Provider Demographics
NPI:1558404806
Name:AMERICAN HOME CARE SYSTEM INC
Entity type:Organization
Organization Name:AMERICAN HOME CARE SYSTEM INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NICANOR
Authorized Official - Middle Name:SALVADOR
Authorized Official - Last Name:GAAD
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:808-486-4954
Mailing Address - Street 1:98029 HEKAHA STREET
Mailing Address - Street 2:UNIT #41
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701
Mailing Address - Country:US
Mailing Address - Phone:808-486-4954
Mailing Address - Fax:808-486-4783
Practice Address - Street 1:98029 HEKAHA STREET
Practice Address - Street 2:UNIT #41
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701
Practice Address - Country:US
Practice Address - Phone:808-486-4954
Practice Address - Fax:808-486-4783
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-15
Last Update Date:2008-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI95307OtherHMSA
HI07153201Medicaid
HI95307OtherHMSA