Provider Demographics
NPI:1063853927
Name:AMARIS HEALTH CARE INC
Entity Type:Organization
Organization Name:AMARIS HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LILIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:DJILO OMGBA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:678-668-6478
Mailing Address - Street 1:13140 COIT RD STE 220
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75240-5745
Mailing Address - Country:US
Mailing Address - Phone:972-925-0766
Mailing Address - Fax:972-925-0761
Practice Address - Street 1:13140 COIT RD STE 220
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240-5745
Practice Address - Country:US
Practice Address - Phone:972-925-0766
Practice Address - Fax:972-925-0761
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-08
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX015807251E00000X
251J00000X, 372600000X, 3747P1801X, 374U00000X, 376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No251J00000XAgenciesNursing CareGroup - Multi-Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty