Provider Demographics
NPI:1063872992
Name:AMARE HOME CARE SERVICES LLC
Entity type:Organization
Organization Name:AMARE HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORGANIZER
Authorized Official - Prefix:MS
Authorized Official - First Name:CHIQUITA
Authorized Official - Middle Name:LAWONTA
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-368-3361
Mailing Address - Street 1:3037 SHADOW WALK LN
Mailing Address - Street 2:
Mailing Address - City:TUCKER
Mailing Address - State:GA
Mailing Address - Zip Code:30084-2140
Mailing Address - Country:US
Mailing Address - Phone:678-368-3361
Mailing Address - Fax:
Practice Address - Street 1:3037 SHADOW WALK LN
Practice Address - Street 2:
Practice Address - City:TUCKER
Practice Address - State:GA
Practice Address - Zip Code:30084-2140
Practice Address - Country:US
Practice Address - Phone:678-368-3361
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-04
Last Update Date:2016-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health