=====================================================
General NPI Number Information
=====================================================
NPI Number | 1437486578
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AMERICAN HOME HEALTHCARE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/10/2009
-----------------------------------------------------
Last Update Date | 11/10/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2806 RUFFNER RD STE 202
-----------------------------------------------------
City | IRONDALE
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 35210-3927
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 205-833-0507
-----------------------------------------------------
Fax | 205-833-0508
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2806 RUFFNER RD STE 202
-----------------------------------------------------
City | IRONDALE
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 35210-3927
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 205-833-0507
-----------------------------------------------------
Fax | 205-833-0508
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINSTRATOR
-----------------------------------------------------
Name | MRS. CRYSTAL L KING
-----------------------------------------------------
Credential | NURSING ASS.
-----------------------------------------------------
Telephone | 205-833-0507
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | AL
-----------------------------------------------------