MEDICARE: AHP HOME HEALTHCARE INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	261QH0100X	Health Service Clinic/Center
3	3747A0650X	Attendant Care Provider

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1114962859
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AHP HOME HEALTHCARE INC.

Provider Business Mailing Address
First Line	:	7737 LUEDES AVE
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32208-3623
Country	:	US
Telephone Number	:	904-766-1285
Fax Number	:	904-766-0995

Provider Business Practice Location Address
First Line	:	7737 LUEDERS AVE
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32208-3623
Country	:	US
Telephone Number	:	904-766-1285
Fax Number	:	904-766-0995

Authorized Official
Title or Position	:	CEO
Name	:	CHARLENE LOUISE AUSTIN
Credential	:
Telephone Number	:	904-766-1285

Provider Enumeration Date	:	06/17/2006
Last Update Date	:	10/19/2022

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Directions to “AHP HOME HEALTHCARE INC. ” Practice Location

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