1427328004 NPI number — AMERICAN MEDICAL HOMECARE ALLIANCE INC.

Table of content: (NPI 1427328004)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427328004 NPI number — AMERICAN MEDICAL HOMECARE ALLIANCE INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AMERICAN MEDICAL HOMECARE ALLIANCE INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1427328004
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/01/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
746 E WINCHESTER ST STE 200
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SALT LAKE CITY
Provider Business Mailing Address State Name:
UT
Provider Business Mailing Address Postal Code:
84107-8513
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
801-485-6166
Provider Business Mailing Address Fax Number:
801-531-1949

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1410 W GUADALUPE RD BLDG 2
Provider Second Line Business Practice Location Address:
SUITE 109B
Provider Business Practice Location Address City Name:
GILBERT
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85233-3039
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
480-597-3661
Provider Business Practice Location Address Fax Number:
480-597-3660
Provider Enumeration Date:
01/12/2012

Additional Information

Authorized Official

Authorized Official Last Name:
NORRIS
Authorized Official First Name:
KENNETH
Authorized Official Middle Name:
E
Authorized Official Title or Position:
MANAGING PARTNER
Authorized Official Telephone Number:
801-485-6166

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: HHA9581 . This is a "HOME HEALTH LICENSE" identifier , issued by the state of ( AZ ) . This identifiers is of the category "OTHER".
  • Identifier: 812802 , issued by the state of ( AZ ) . This identifiers is of the category "MEDICAID".




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