Provider Demographics
NPI:1871742767
Name:AMERICAN CENTER FOR HEALTH CARE
Entity type:Organization
Organization Name:AMERICAN CENTER FOR HEALTH CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FOUNDER, PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:DALE
Authorized Official - Last Name:BRISENO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-368-6199
Mailing Address - Street 1:8647 MATHIS AVE
Mailing Address - Street 2:SUITE # 202
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20110-8454
Mailing Address - Country:US
Mailing Address - Phone:703-368-6199
Mailing Address - Fax:
Practice Address - Street 1:8647 MATHIS AVE
Practice Address - Street 2:SUITE # 202
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-8454
Practice Address - Country:US
Practice Address - Phone:703-368-6199
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-16
Last Update Date:2010-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health