Organization
AMERICARE HOME HEALTH AGENCY LLC
Active
Other names
AMERICARE HOME HEALTH AGENCY LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY ANN RANDOLPH L.P.N. (AUTHORIZED OFFICIAL)
(937) 353-8575
Entity
Organization
Contact information
Practice address
1615 S ALEX RD, DAYTON, OH 45449-5406
(937) 287-8395
(937) 353-8357
Mailing address
1615 S ALEX RD, DAYTON, OH 45449-5406
(937) 287-8395
(937) 353-8357
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1563558
OH
251E00000X
Home Health Agency
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2683396
—
OH
05
—
2717886
—
OH
01
—
OH03966
ODH
OH
Enumeration date
10/12/2006
Last updated
03/05/2024
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