=====================================================
General NPI Number Information
=====================================================
NPI Number | 1932310885
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AMERICAN HOME HEALTH CARE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/24/2007
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6953 MILLER LANE
-----------------------------------------------------
City | DAYTON
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45414
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 937-264-8198
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 691 GREEN CREST DR
-----------------------------------------------------
City | WESTERVILLE
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43081-2848
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 614-237-1133
-----------------------------------------------------
Fax | 614-237-1177
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | BRADLEY D YAKAM
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 614-237-1133
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number | 25-285886
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------