Provider Demographics
NPI:1003487588
Name:AMVICARE HOME HEALTH INC.
Entity Type:Organization
Organization Name:AMVICARE HOME HEALTH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:MILAGROS
Authorized Official - Middle Name:A
Authorized Official - Last Name:VICTORIA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:650-278-6549
Mailing Address - Street 1:4195 VALLEY FAIR ST STE 107A
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93063-2951
Mailing Address - Country:US
Mailing Address - Phone:800-591-5817
Mailing Address - Fax:844-378-8297
Practice Address - Street 1:4195 VALLEY FAIR ST STE 107A
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93063-2951
Practice Address - Country:US
Practice Address - Phone:800-591-5817
Practice Address - Fax:844-378-8297
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-07
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health