Organization
AMERICAN HOME COMPANION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE MIGUEL MONTERO (GENERAL MANAGER)
(775) 826-8090
Entity
Organization
Contact information
Practice address
405 IDAHO ST, SUITE 215, ELKO, NV 89801-3765
(775) 778-9960
(775) 778-9962
Mailing address
3708 LAKESIDE DR, SUITE 200, RENO, NV 89509-5238
(775) 826-8090
(775) 826-9008
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
7525HHA-0
NV
253Z00000X
In Home Supportive Care Agency
Primary
NV19991331652
NV
253Z00000X
In Home Supportive Care Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
NV19991331652
NV
332BX2000X
Oxygen Equipment & Supplies (DME)
NV19991331652
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003016623
—
NV
05
—
005814623
—
NV
05
—
100500261
—
NV
05
—
100500587
—
NV
01
—
1235230418
NATIONAL PROVIDER ID FOR ADDITIONAL SERVICE LOCATION
NV
01
—
9005048036
ATYPICAL PROVIDER ID
NV
01
—
9005048044
ATYPICAL PROVIDER ID
NV
01
—
9005048069
ATYPICAL PROVIDER ID
NV
01
—
9005051162
ATYPICAL PROVIDER ID
NV
05
—
M8081285-000
—
ID
Enumeration date
08/05/2010
Last updated
11/19/2018
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