MEDICARE: AMERICAN HOME HEALTH CARE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	001995	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	001995	OTHER	TX	HCSSA LICENSE #

General Provider Information

NPI Number	:	1194814509
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN HOME HEALTH CARE, INC.

Provider Business Mailing Address
First Line	:	PO BOX 14411
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77221-4411
Country	:	US
Telephone Number	:	713-521-0053
Fax Number	:	713-660-0957

Provider Business Practice Location Address
First Line	:	3003 SOUTH LOOP W
Second Line	:	SUITE 400
City	:	HOUSTON
State	:	TX
Zip	:	77054-1301
Country	:	US
Telephone Number	:	713-521-0053
Fax Number	:	713-660-0957

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	TONI OVILLE
Credential	:	R.N.
Telephone Number	:	713-521-0053

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	08/22/2020

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