- Enrollment id
- O20060929000507
- Enrollment state
- AZ
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1497760201
- Multiple npi flag
- N
- Ccn
- 037232
- Associate id
- 9931104742
- Organization name
- HEALTH MAX GROUP, LLC.
- Doing business as name
- AMERICAN PREMIER HOME HEALTH CARE
- Incorporation date
- 2006-06-26
- Incorporation state
- AZ
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 11070 N 24TH AVE
- Address line 2
- STE 100
- City
- PHOENIX
- State
- AZ
- Zip code
- 850294705
- Practice location type
- HHA BRANCH