Provider Demographics
NPI:1104068337
Name:AMRON HOMECARE AGENCY, INC.
Entity type:Organization
Organization Name:AMRON HOMECARE AGENCY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:HEPBURN
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:704-225-3977
Mailing Address - Street 1:PO BOX 395
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NC
Mailing Address - Zip Code:28111-0395
Mailing Address - Country:US
Mailing Address - Phone:704-225-3977
Mailing Address - Fax:704-225-0793
Practice Address - Street 1:3513 W HIGHWAY 74 STE B
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28110-8677
Practice Address - Country:US
Practice Address - Phone:704-225-3977
Practice Address - Fax:704-225-0793
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-02
Last Update Date:2009-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC3573251F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion