Provider Demographics
NPI:1306578091
Name:AMELLO HOME CARE SERVICES LLC
Entity type:Organization
Organization Name:AMELLO HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROBERTA
Authorized Official - Middle Name:
Authorized Official - Last Name:WARREN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-616-6002
Mailing Address - Street 1:7028 W WATERS AVE # 216
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33634-2292
Mailing Address - Country:US
Mailing Address - Phone:813-616-6002
Mailing Address - Fax:
Practice Address - Street 1:2462 E MICHIGAN ST # 207
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-5059
Practice Address - Country:US
Practice Address - Phone:321-477-0676
Practice Address - Fax:321-477-0677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-30
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health