MEDICARE: AMERICAN MEDICAL HOME HEALTH SERVICES - SAN ANTONIO 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	253Z00000X	In Home Supportive Care Agency
2	3747P1801X	Personal Care Attendant
3	251E00000X	Home Health Agency	009369	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	001026026	OTHER	TX	PHC CONTRACT
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295788289
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN MEDICAL HOME HEALTH SERVICES - SAN ANTONIO LLC

Provider Business Mailing Address
First Line	:	506 VALLEY BROOK ROAD
Second Line	:	STE 201
City	:	MCMURRAY
State	:	PA
Zip	:	15317-9610
Country	:	US
Telephone Number	:	724-684-4550
Fax Number	:	724-684-5944

Provider Business Practice Location Address
First Line	:	5805 CALLAGHAN RD STE 300
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78228-1127
Country	:	US
Telephone Number	:	210-735-6225
Fax Number	:	210-736-1089

Authorized Official
Title or Position	:	MANAGING MEMBER PRESIDENT
Name	:	MR. ROBERT DOJONOVIC
Credential	:
Telephone Number	:	724-684-4550

Provider Enumeration Date	:	05/18/2006
Last Update Date	:	12/18/2024

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