MEDICARE: AAH OF MICHIGAN I, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1033989504
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AAH OF MICHIGAN I, LLC

Provider Business Mailing Address
First Line	:	10 CADILLAC DR STE 400
Second Line	:
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-1001
Country	:	US
Telephone Number	:	615-637-9163
Fax Number	:	615-373-4457

Provider Business Practice Location Address
First Line	:	109 N 2ND AVE STE 202
Second Line	:
City	:	ALPENA
State	:	MI
Zip	:	49707-5305
Country	:	US
Telephone Number	:	417-841-4834
Fax Number	:	866-955-8538

Authorized Official
Title or Position	:	EVP, CHIEF FINANCIAL OFFICER
Name	:	JOHN CULLEN
Credential	:
Telephone Number	:	615-377-7022

Provider Enumeration Date	:	01/05/2024
Last Update Date	:	05/14/2026

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