Provider Demographics
NPI:1073225454
Name:AMORE HEALTHCARE
Entity Type:Organization
Organization Name:AMORE HEALTHCARE
Other - Org Name:AMORE CARE HEALTH AND WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:TAFFAE
Authorized Official - Middle Name:M
Authorized Official - Last Name:CADEAU
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:718-781-0637
Mailing Address - Street 1:201 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:REMINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22734-9693
Mailing Address - Country:US
Mailing Address - Phone:540-439-9000
Mailing Address - Fax:540-439-9099
Practice Address - Street 1:201 E MAIN ST
Practice Address - Street 2:
Practice Address - City:REMINGTON
Practice Address - State:VA
Practice Address - Zip Code:22734-9693
Practice Address - Country:US
Practice Address - Phone:540-439-9000
Practice Address - Fax:540-439-9099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-19
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care