Provider Demographics
NPI:1528425402
Name:AMERICAN HOME HEALTH CARE, INC.
Entity type:Organization
Organization Name:AMERICAN HOME HEALTH CARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRAD
Authorized Official - Middle Name:
Authorized Official - Last Name:YAKAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-237-1133
Mailing Address - Street 1:2175 S JASMINE ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-5713
Mailing Address - Country:US
Mailing Address - Phone:720-499-3229
Mailing Address - Fax:
Practice Address - Street 1:2175 S JASMINE ST
Practice Address - Street 2:SUITE 203
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-5713
Practice Address - Country:US
Practice Address - Phone:720-499-3229
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-22
Last Update Date:2016-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO20156000334332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies