Healthcare Provider Details

I. General information

NPI: 1043824592
Provider Name (Legal Business Name): AMERICAN HEALTH MANAGEMENT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2020
Last Update Date: 01/25/2021
Certification Date: 01/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2433 REGENCY RD
LEXINGTON KY
40503-3043
US

IV. Provider business mailing address

PO BOX 572
RICHMOND KY
40476-0572
US

V. Phone/Fax

Practice location:
  • Phone: 859-623-4080
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARIBETH UPCHURCH
Title or Position: OPERATIONS ASSOCIATE
Credential:
Phone: 859-623-4080