Provider Demographics
NPI:1902920259
Name:AMERICAN HOME HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:AMERICAN HOME HEALTH SERVICES, INC.
Other - Org Name:AMERICAN HOME HEALTH SERVICES, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GERRY
Authorized Official - Middle Name:M
Authorized Official - Last Name:GAOAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-322-6264
Mailing Address - Street 1:7895 BROADWAY AVENUE
Mailing Address - Street 2:SUITE G-A
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46410-5529
Mailing Address - Country:US
Mailing Address - Phone:219-322-6264
Mailing Address - Fax:219-322-5890
Practice Address - Street 1:7895 BROADWAY AVENUE
Practice Address - Street 2:SUITE G-A
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-5529
Practice Address - Country:US
Practice Address - Phone:219-322-6264
Practice Address - Fax:219-322-5890
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN15-004699-1251E00000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN157573OtherMEDICARE
IN200804120AMedicaid
IN300051837Medicaid
IN550834OtherINDIANA WORK FORCE ID
IN004699OtherINDIANA FACILITY #