Healthcare Provider Details

I. General information

NPI: 1982669149
Provider Name (Legal Business Name): AMERICA HOME HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6595 NW 36TH ST SUITE 222-3
VIRGINIA GARDENS FL
33166-6979
US

IV. Provider business mailing address

6595 NW 36TH ST SUITE 222-3
VIRGINIA GARDENS FL
33166-6979
US

V. Phone/Fax

Practice location:
  • Phone: 305-492-1700
  • Fax: 305-492-1491
Mailing address:
  • Phone: 305-492-1700
  • Fax: 305-492-1491

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateFL

VIII. Authorized Official

Name: MRS. SULMAN A BONILLA
Title or Position: ADMINISTRATOR
Credential:
Phone: 305-492-1700