Provider Demographics
NPI:1003199753
Name:AMARIS HOME CARE LLC
Entity Type:Organization
Organization Name:AMARIS HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:S
Authorized Official - Last Name:ABRAHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:855-262-7471
Mailing Address - Street 1:2403 N 10TH ST
Mailing Address - Street 2:STE B PMB #175
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-4084
Mailing Address - Country:US
Mailing Address - Phone:855-262-7471
Mailing Address - Fax:
Practice Address - Street 1:4305 N 10TH ST
Practice Address - Street 2:STE H
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-3051
Practice Address - Country:US
Practice Address - Phone:855-262-7471
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-20
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
6624000001Medicare NSC