Provider Demographics
NPI:1750381349
Name:ALL AMERICAN HOME AIDE LLC
Entity type:Organization
Organization Name:ALL AMERICAN HOME AIDE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF COMPLIANCE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:
Authorized Official - Last Name:RUSSALESI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-246-9499
Mailing Address - Street 1:220 W GERMANTOWN PIKE STE 250
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH MEETING
Mailing Address - State:PA
Mailing Address - Zip Code:19462-1437
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:169 W SPRINGFIELD ST
Practice Address - Street 2:UNIT B
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-1403
Practice Address - Country:US
Practice Address - Phone:612-928-6956
Practice Address - Fax:617-713-0300
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ADAPTHEALTH LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-07-26
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA11029400AMedicaid
MA1154870001Medicare NSC