Provider Demographics
NPI:1215651427
Name:AMIKA HEALTH CARE LLC
Entity type:Organization
Organization Name:AMIKA HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:ODHIAMBO
Authorized Official - Last Name:OWUOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-509-9587
Mailing Address - Street 1:1501 MAIN ST STE 25
Mailing Address - Street 2:
Mailing Address - City:TEWKSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01876-4700
Mailing Address - Country:US
Mailing Address - Phone:978-455-3288
Mailing Address - Fax:978-455-3297
Practice Address - Street 1:1501 MAIN ST STE 25
Practice Address - Street 2:
Practice Address - City:TEWKSBURY
Practice Address - State:MA
Practice Address - Zip Code:01876-4700
Practice Address - Country:US
Practice Address - Phone:978-455-3288
Practice Address - Fax:978-455-3297
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-30
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care