Provider Demographics
| NPI: | 1265869770 |
|---|---|
| Name: | ALL-AMERICAN HOME HEALTHCARE AGENCY |
| Entity type: | Organization |
| Organization Name: | ALL-AMERICAN HOME HEALTHCARE AGENCY |
| Other - Org Name: | <UNAVAIL> |
| Other - Org Type: | |
| Authorized Official - Title/Position: | CHIEF EXECUTIVE OFFICER |
| Authorized Official - Prefix: | MR |
| Authorized Official - First Name: | ABDUL |
| Authorized Official - Middle Name: | A |
| Authorized Official - Last Name: | HANDULLE |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 614-260-9070 |
| Mailing Address - Street 1: | 1925 E DUBLIN GRANVILLE RD STE 226 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | COLUMBUS |
| Mailing Address - State: | OH |
| Mailing Address - Zip Code: | 43229-3517 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 614-260-9070 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 1925 E DUBLIN GRANVILLE RD STE 226 |
| Practice Address - Street 2: | |
| Practice Address - City: | COLUMBUS |
| Practice Address - State: | OH |
| Practice Address - Zip Code: | 43229-3517 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 614-260-9070 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2013-09-28 |
| Last Update Date: | 2013-09-28 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| OH | 999999 | 251E00000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 251E00000X | Agencies | Home Health |