Provider Demographics
NPI:1043935372
Name:AMANI HOME HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:AMANI HOME HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:N
Authorized Official - Last Name:WANJIRU
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:916-919-0923
Mailing Address - Street 1:180 PROMENADE CIR STE 300
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95834-2952
Mailing Address - Country:US
Mailing Address - Phone:916-919-0923
Mailing Address - Fax:
Practice Address - Street 1:180 PROMENADE CIR STE 300
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95834-2952
Practice Address - Country:US
Practice Address - Phone:916-919-0923
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-10
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health