Provider Demographics
NPI:1144288812
Name:AMERICAN HOME HEALTH CARE COMPANY
Entity type:Organization
Organization Name:AMERICAN HOME HEALTH CARE COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PEGGY
Authorized Official - Middle Name:R
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-277-2273
Mailing Address - Street 1:214 W 7TH ST
Mailing Address - Street 2:
Mailing Address - City:SIOUX CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51103-4450
Mailing Address - Country:US
Mailing Address - Phone:712-277-2273
Mailing Address - Fax:712-277-3829
Practice Address - Street 1:214 W 7TH ST
Practice Address - Street 2:
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51103-4450
Practice Address - Country:US
Practice Address - Phone:712-277-2273
Practice Address - Fax:712-277-3829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-03
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE332BX2000X
IA332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0226316Medicaid
NE=========00Medicaid
NE=========00Medicaid