MEDICARE: AM HOME HEALTH CARE, 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	:	1588909808
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AM HOME HEALTH CARE, INC

Provider Business Mailing Address
First Line	:	2420 N COLISEUM BLVD STE 100
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46805-3139
Country	:	US
Telephone Number	:	260-471-9190
Fax Number	:	260-471-9191

Provider Business Practice Location Address
First Line	:	2420 N COLISEUM BLVD STE 100
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46805-3139
Country	:	US
Telephone Number	:	260-471-9190
Fax Number	:	260-471-9191

Authorized Official
Title or Position	:	CEO
Name	:	ZAKAWAN DIN
Credential	:
Telephone Number	:	260-471-9190

Provider Enumeration Date	:	11/28/2012
Last Update Date	:	12/16/2025

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