Healthcare Provider Details

I. General information

NPI: 1386559565
Provider Name (Legal Business Name): AHC HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

784 S CLEARWATER LOOP # 4589
POST FALLS ID
83854-9599
US

IV. Provider business mailing address

73 JOAN DR
NEW CITY NY
10956-2528
US

V. Phone/Fax

Practice location:
  • Phone: 845-694-4826
  • Fax:
Mailing address:
  • Phone: 845-694-4826
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH BRENINGSTALL
Title or Position: ADMINISTRATOR
Credential:
Phone: 845-694-4826