Provider Demographics
NPI:1194758318
Name:AMOR-HERITAGE HOME HEALTH CARE & SERVICES, INC.
Entity type:Organization
Organization Name:AMOR-HERITAGE HOME HEALTH CARE & SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:S
Authorized Official - Last Name:GUEVARA
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:586-558-9822
Mailing Address - Street 1:29433 HOOVER RD
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48093-3480
Mailing Address - Country:US
Mailing Address - Phone:586-558-9822
Mailing Address - Fax:586-558-9825
Practice Address - Street 1:29433 HOOVER RD
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48093-3480
Practice Address - Country:US
Practice Address - Phone:586-558-9822
Practice Address - Fax:586-558-9825
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI237553Medicare ID - Type UnspecifiedHOME HEALTH CARE AGENCY