Provider Demographics
NPI:1083354088
Name:AMOR CARING FAMILY ,LLC
Entity Type:Organization
Organization Name:AMOR CARING FAMILY ,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LACKISHIA
Authorized Official - Middle Name:MAIRE
Authorized Official - Last Name:CHRISTOPHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-452-6960
Mailing Address - Street 1:7851 METRO PKWY STE 310
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55425-1524
Mailing Address - Country:US
Mailing Address - Phone:612-452-6960
Mailing Address - Fax:952-500-8908
Practice Address - Street 1:7851 METRO PKWY STE 310
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55425-1524
Practice Address - Country:US
Practice Address - Phone:612-452-6960
Practice Address - Fax:952-500-8908
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AMOR CARING FAMILY PCA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-03-30
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty