Healthcare Provider Details

I. General information

NPI: 1508041567
Provider Name (Legal Business Name): AMERICAN HOME HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2008
Last Update Date: 01/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2681 LEE HWY
BRISTOL VA
24202-5872
US

IV. Provider business mailing address

2681 LEE HWY
BRISTOL VA
24202-5872
US

V. Phone/Fax

Practice location:
  • Phone: 276-466-2777
  • Fax: 276-669-9358
Mailing address:
  • Phone: 276-466-2777
  • Fax: 276-669-9358

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. JOHN EDWARD GARRISON
Title or Position: PRESIDENT
Credential:
Phone: 276-466-2777