Healthcare Provider Details

I. General information

NPI: 1699360735
Provider Name (Legal Business Name): AMERICAN HEALTHCARE SYSTEMS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2021
Last Update Date: 01/22/2024
Certification Date: 01/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

148 POINTE SOUTH DR
RANDLEMAN NC
27317-9520
US

IV. Provider business mailing address

364 WHITE OAK ST
ASHEBORO NC
27203-5434
US

V. Phone/Fax

Practice location:
  • Phone: 336-799-4435
  • Fax:
Mailing address:
  • Phone: 336-625-2333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: FAISAL M GILL
Title or Position: LEGAL COUNSEL
Credential:
Phone: 310-418-6675