Provider Demographics
NPI:1750555157
Name:AMERICAN HOME HEALTH CARE SERVICES
Entity type:Organization
Organization Name:AMERICAN HOME HEALTH CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TIERRA
Authorized Official - Middle Name:SHUDONN
Authorized Official - Last Name:BELGROVE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-338-6543
Mailing Address - Street 1:4663 HAYGOOD DRIVE
Mailing Address - Street 2:SUITE 215
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23455-5442
Mailing Address - Country:US
Mailing Address - Phone:757-460-0696
Mailing Address - Fax:
Practice Address - Street 1:4663 HAYGOOD DRIVE
Practice Address - Street 2:SUITE 215
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23455-5442
Practice Address - Country:US
Practice Address - Phone:757-460-0696
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-16
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health