Provider Demographics
NPI:1366139933
Name:AMEN HOME HEALTH CARE INC.
Entity type:Organization
Organization Name:AMEN HOME HEALTH CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:AMARE
Authorized Official - Middle Name:
Authorized Official - Last Name:GEREMEW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-886-8894
Mailing Address - Street 1:2210 E LA SALLE ST STE 113
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80909-2358
Mailing Address - Country:US
Mailing Address - Phone:719-437-3610
Mailing Address - Fax:
Practice Address - Street 1:2210 E LA SALLE ST STE 113
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909-2358
Practice Address - Country:US
Practice Address - Phone:719-437-3610
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-24
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care