Provider Demographics
NPI:1295505741
Name:AMERICAN IN-HOME CARE, LLC
Entity type:Organization
Organization Name:AMERICAN IN-HOME CARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COMPLIANCE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:NEWMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:407-284-7220
Mailing Address - Street 1:7280 W PALMETTO PARK RD STE 307N
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-3401
Mailing Address - Country:US
Mailing Address - Phone:954-518-3003
Mailing Address - Fax:888-534-4907
Practice Address - Street 1:1800 SE 32ND AVE STE 104
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-5598
Practice Address - Country:US
Practice Address - Phone:352-624-0570
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AMERICAN IN-HOME CARE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-01-05
Last Update Date:2025-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLNR30211751OtherAHCA NURSE REGISTRY LICENSE