Healthcare Provider Details

I. General information

NPI: 1154076115
Provider Name (Legal Business Name): AMERICAN HOME HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2022
Last Update Date: 05/01/2025
Certification Date: 05/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1660 N FARNSWORTH AVE STE 3
AURORA IL
60505-1893
US

IV. Provider business mailing address

1660 N FARNSWORTH AVE STE 3
AURORA IL
60505-1893
US

V. Phone/Fax

Practice location:
  • Phone: 630-236-3501
  • Fax: 630-236-3505
Mailing address:
  • Phone: 630-236-3501
  • Fax: 630-236-3505

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 Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: JANELLE C FULFS
Title or Position: PRESIDENT
Credential:
Phone: 630-236-3501