MEDICARE: AMERICAN HOME HEALTH SERVICES, 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	15-004699-1	IN
2	251E00000X	Home Health Agency

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	157573	OTHER	IN	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	550834	OTHER	IN	INDIANA WORK FORCE ID
5	004699	OTHER	IN	INDIANA FACILITY #

General Provider Information

NPI Number	:	1902920259
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN HOME HEALTH SERVICES, INC.

Provider Business Mailing Address
First Line	:	7895 BROADWAY AVENUE
Second Line	:	SUITE G-A
City	:	MERRILLVILLE
State	:	IN
Zip	:	46410-5529
Country	:	US
Telephone Number	:	219-322-6264
Fax Number	:	219-322-5890

Provider Business Practice Location Address
First Line	:	7895 BROADWAY AVENUE
Second Line	:	SUITE G-A
City	:	MERRILLVILLE
State	:	IN
Zip	:	46410-5529
Country	:	US
Telephone Number	:	219-322-6264
Fax Number	:	219-322-5890

Authorized Official
Title or Position	:	MANAGER
Name	:	GERRY M GAOAT
Credential	:
Telephone Number	:	219-322-6264

Provider Enumeration Date	:	03/19/2007
Last Update Date	:	09/27/2023

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Directions to “AMERICAN HOME HEALTH SERVICES, INC. ” Practice Location

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