MEDICARE: AMERICARE HOME HEALTHCARE INC

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1114599776
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICARE HOME HEALTHCARE INC

Provider Business Mailing Address
First Line	:	1204 BROOKLYN AVE
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64127-1912
Country	:	US
Telephone Number	:	816-316-9398
Fax Number	:

Provider Business Practice Location Address
First Line	:	1204 BROOKLYN AVE
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64127-1912
Country	:	US
Telephone Number	:	816-316-9398
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. NASIR M JEILANI
Credential	:
Telephone Number	:	816-505-5995

Provider Enumeration Date	:	07/13/2021
Last Update Date	:	07/27/2021

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