MEDICARE: AMERICAN ALLIED 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1376784793
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN ALLIED HOME HEALTHCARE, INC

Provider Business Mailing Address
First Line	:	1313 W MORSE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60626-3521
Country	:	US
Telephone Number	:	773-704-1448
Fax Number	:

Provider Business Practice Location Address
First Line	:	1313 W MORSE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60626-3521
Country	:	US
Telephone Number	:	773-704-1448
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	PEACE GOODWILL
Credential	:	RN
Telephone Number	:	773-704-1448

Provider Enumeration Date	:	03/14/2009
Last Update Date	:	03/14/2009

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