Provider Demographics
NPI:1992164784
Name:AMBER PERSONAL CARE, LLC
Entity type:Organization
Organization Name:AMBER PERSONAL CARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SOPHIA
Authorized Official - Middle Name:S
Authorized Official - Last Name:AKRAMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-718-1825
Mailing Address - Street 1:7000 E BELLEVIEW AVE STE 175
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-1649
Mailing Address - Country:US
Mailing Address - Phone:303-955-7018
Mailing Address - Fax:303-537-4123
Practice Address - Street 1:7000 E BELLEVIEW AVE STE 175
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-1649
Practice Address - Country:US
Practice Address - Phone:303-955-7018
Practice Address - Fax:303-537-4123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-22
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO253Z00000X
253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO54728363Medicaid
CO1992164784Medicaid