MEDICARE: AHC HOME HEALTH OF ROANOKE, 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
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1902748197
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AHC HOME HEALTH OF ROANOKE, LLC

Provider Business Mailing Address
First Line	:	7500 SHADWELL DR STE D
Second Line	:
City	:	ROANOKE
State	:	VA
Zip	:	24019-5103
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7500 SHADWELL DR STE D
Second Line	:
City	:	ROANOKE
State	:	VA
Zip	:	24019-5103
Country	:	US
Telephone Number	:	276-970-2907
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	FOREST ARNETT
Credential	:
Telephone Number	:	385-622-4500

Provider Enumeration Date	:	04/07/2026
Last Update Date	:	04/07/2026

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