Provider Demographics
NPI:1063477875
Name:AMBER HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:AMBER HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:INDER
Authorized Official - Middle Name:KUMAR
Authorized Official - Last Name:THAWANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-730-8500
Mailing Address - Street 1:29792 TELEGRAPH RD STE 130
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48034-7670
Mailing Address - Country:US
Mailing Address - Phone:313-730-8500
Mailing Address - Fax:
Practice Address - Street 1:29792 TELEGRAPH RD STE 130
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-7670
Practice Address - Country:US
Practice Address - Phone:313-730-8500
Practice Address - Fax:313-730-9172
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-18
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI237527251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI23-7527OtherMEDICARE PROVIDER NO.