Provider Demographics
NPI:1730431362
Name:AAA HOME HEALTH, INC.
Entity type:Organization
Organization Name:AAA HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CEFERINO
Authorized Official - Middle Name:T
Authorized Official - Last Name:FAJARDO
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:858-357-1338
Mailing Address - Street 1:9225 DOWDY DRRIVE
Mailing Address - Street 2:SUITE 220
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92126-6363
Mailing Address - Country:US
Mailing Address - Phone:858-357-1338
Mailing Address - Fax:858-549-1012
Practice Address - Street 1:9225 DOWDY DRIVE
Practice Address - Street 2:SUITE 220
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92126-6363
Practice Address - Country:US
Practice Address - Phone:858-357-1338
Practice Address - Fax:858-549-1012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-05
Last Update Date:2012-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health