Provider Demographics
NPI:1740730530
Name:AAHMOM, LLC
Entity type:Organization
Organization Name:AAHMOM, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:BENNING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-697-7536
Mailing Address - Street 1:13304 W CENTER RD
Mailing Address - Street 2:SUITE 225
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-3453
Mailing Address - Country:US
Mailing Address - Phone:402-697-7536
Mailing Address - Fax:402-614-7579
Practice Address - Street 1:13304 W CENTER RD
Practice Address - Street 2:SUITE 225
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-3453
Practice Address - Country:US
Practice Address - Phone:402-697-7536
Practice Address - Fax:402-614-7579
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-05
Last Update Date:2016-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care