Provider Demographics
NPI:1518056217
Name:AMERICAN HOME HEALTH CARE, CORP
Entity type:Organization
Organization Name:AMERICAN HOME HEALTH CARE, CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:SAHARA
Authorized Official - Middle Name:
Authorized Official - Last Name:TEJERA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:305-546-4463
Mailing Address - Street 1:12150 SW 128 CT
Mailing Address - Street 2:SUITE 137
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-4673
Mailing Address - Country:US
Mailing Address - Phone:305-546-4463
Mailing Address - Fax:305-234-7718
Practice Address - Street 1:12150 SW 128 CT
Practice Address - Street 2:SUITE 137
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-4673
Practice Address - Country:US
Practice Address - Phone:305-546-4463
Practice Address - Fax:305-234-7718
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2017-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299992319251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL651346800Medicaid
FL108345Medicare ID - Type UnspecifiedHOME HEALTH AGENCY