MEDICARE: AMERICAN MEDICAL HOSPICE CARE, 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	251G00000X	Community Based Hospice Care Agency	016852	TX

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	:	1801289335
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN MEDICAL HOSPICE CARE, 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	:	210-812-5709
Fax Number	:	210-812-5703

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ROBERT DOJONOVIC
Credential	:
Telephone Number	:	724-684-4450

Provider Enumeration Date	:	03/09/2015
Last Update Date	:	12/18/2024

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