Provider Demographics
NPI:1801289335
Name:AMERICAN MEDICAL HOSPICE CARE, LLC
Entity type:Organization
Organization Name:AMERICAN MEDICAL HOSPICE CARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:DOJONOVIC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-684-4450
Mailing Address - Street 1:506 VALLEY BROOK ROAD
Mailing Address - Street 2:STE 201
Mailing Address - City:MCMURRAY
Mailing Address - State:PA
Mailing Address - Zip Code:15317-9610
Mailing Address - Country:US
Mailing Address - Phone:724-684-4550
Mailing Address - Fax:724-684-5944
Practice Address - Street 1:5805 CALLAGHAN RD STE 300
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78228-1127
Practice Address - Country:US
Practice Address - Phone:210-812-5709
Practice Address - Fax:210-812-5703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-09
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX016852251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX741619Medicaid
TX741619Medicare PIN