MEDICARE: AMERICAN MEDICAL HOMECARE ALLIANCE 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

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	HHA9581	OTHER	AZ	HOME HEALTH LICENSE

General Provider Information

NPI Number	:	1427328004
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN MEDICAL HOMECARE ALLIANCE INC.

Provider Business Mailing Address
First Line	:	746 E WINCHESTER ST STE 200
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84107-8513
Country	:	US
Telephone Number	:	801-485-6166
Fax Number	:	801-531-1949

Provider Business Practice Location Address
First Line	:	1410 W GUADALUPE RD BLDG 2
Second Line	:	SUITE 109B
City	:	GILBERT
State	:	AZ
Zip	:	85233-3039
Country	:	US
Telephone Number	:	480-597-3661
Fax Number	:	480-597-3660

Authorized Official
Title or Position	:	VP OF OPERATIONS
Name	:	BREEZIE LISKEY
Credential	:
Telephone Number	:	801-485-6166

Provider Enumeration Date	:	01/12/2012
Last Update Date	:	08/13/2025

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