Provider Demographics
NPI:1073204871
Name:AMETHYST HOME HEALTH SOLUTIONS, INC.
Entity Type:Organization
Organization Name:AMETHYST HOME HEALTH SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:STELLA
Authorized Official - Middle Name:ADEBUSOLA
Authorized Official - Last Name:ADEGBEMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-704-6182
Mailing Address - Street 1:18019 DALTON SHADOW LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-1815
Mailing Address - Country:US
Mailing Address - Phone:281-704-6182
Mailing Address - Fax:
Practice Address - Street 1:18019 DALTON SHADOW LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-1815
Practice Address - Country:US
Practice Address - Phone:281-704-6182
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-15
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based