Provider Demographics
NPI:1538922919
Name:AMEN HOME CARE AGENCY, LLC
Entity type:Organization
Organization Name:AMEN HOME CARE AGENCY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:STELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAPMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:919-638-6668
Mailing Address - Street 1:189 WIND CHIME CT STE 104-C
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-6479
Mailing Address - Country:US
Mailing Address - Phone:919-809-8049
Mailing Address - Fax:919-809-8047
Practice Address - Street 1:189 WIND CHIME CT STE 104-C
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-6479
Practice Address - Country:US
Practice Address - Phone:919-809-8049
Practice Address - Fax:919-809-8047
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-30
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care