Provider Demographics
NPI:1093275679
Name:AMANA HOME CARE LLC
Entity Type:Organization
Organization Name:AMANA HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ALTERNATE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SULEKA
Authorized Official - Middle Name:
Authorized Official - Last Name:JAMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-469-9395
Mailing Address - Street 1:6671 SOUTHWEST FWY STE 812D
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-2221
Mailing Address - Country:US
Mailing Address - Phone:713-732-6269
Mailing Address - Fax:
Practice Address - Street 1:6671 SOUTHWEST FWY STE 812D
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-2221
Practice Address - Country:US
Practice Address - Phone:713-732-6269
Practice Address - Fax:713-481-0222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-21
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care