MEDICARE: AMERICA'S HOME HEALTH SERVICES, 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	251E00000X	Home Health Agency	1510321	OH

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

General Provider Information

NPI Number	:	1659463115
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICA'S HOME HEALTH SERVICES, LLC

Provider Business Mailing Address
First Line	:	3556 SULLIVANT AVENUE
Second Line	:	SUITE 205
City	:	COLUMBUS
State	:	OH
Zip	:	43204-1153
Country	:	US
Telephone Number	:	614-274-0400
Fax Number	:	614-274-0403

Provider Business Practice Location Address
First Line	:	3556 SULLIVANT AVENUE
Second Line	:	SUITE 205
City	:	COLUMBUS
State	:	OH
Zip	:	43204-1153
Country	:	US
Telephone Number	:	614-274-0400
Fax Number	:	614-274-0403

Authorized Official
Title or Position	:	PRESIDENT
Name	:	VAN CHAU THACH
Credential	:
Telephone Number	:	614-622-5309

Provider Enumeration Date	:	09/29/2006
Last Update Date	:	01/04/2011

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