Provider Demographics
NPI:1588492508
Name:AMEN HOMES INC.
Entity type:Organization
Organization Name:AMEN HOMES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSEE
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:AYOARIYO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-753-3777
Mailing Address - Street 1:3611 TOPAZ LN
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93535-5934
Mailing Address - Country:US
Mailing Address - Phone:310-753-3777
Mailing Address - Fax:
Practice Address - Street 1:3611 TOPAZ LN
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93535-5934
Practice Address - Country:US
Practice Address - Phone:310-753-3777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-22
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home