Provider Demographics
NPI:1982050449
Name:AMOYE HEALTHCARE SERVICES, INC
Entity type:Organization
Organization Name:AMOYE HEALTHCARE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LEKEYIA
Authorized Official - Middle Name:
Authorized Official - Last Name:AMOYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-640-4207
Mailing Address - Street 1:38 TERRA BELLA DR
Mailing Address - Street 2:
Mailing Address - City:MANVEL
Mailing Address - State:TX
Mailing Address - Zip Code:77578-3340
Mailing Address - Country:US
Mailing Address - Phone:281-656-1056
Mailing Address - Fax:281-656-1055
Practice Address - Street 1:38 TERRA BELLA DR
Practice Address - Street 2:
Practice Address - City:MANVEL
Practice Address - State:TX
Practice Address - Zip Code:77578
Practice Address - Country:US
Practice Address - Phone:281-656-1056
Practice Address - Fax:281-656-1055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-13
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX018356251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001033426Medicaid