Provider Demographics
NPI:1154109197
Name:AMARA HOME HEALTH CARE LLC
Entity type:Organization
Organization Name:AMARA HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABRAHAM
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:NELLY
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:915-258-5106
Mailing Address - Street 1:15751 N WIND CIR
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33326-2116
Mailing Address - Country:US
Mailing Address - Phone:915-258-5106
Mailing Address - Fax:
Practice Address - Street 1:526 24TH ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-4818
Practice Address - Country:US
Practice Address - Phone:915-258-5106
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AMARA HOME HEALTH CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-09-20
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health