Provider Demographics
NPI:1093953804
Name:AMICARE HOME HEALTH SERVICES INC
Entity Type:Organization
Organization Name:AMICARE HOME HEALTH SERVICES INC
Other - Org Name:N/A
Other - Org Type:Doing Business As
Authorized Official - Title/Position:NURSE
Authorized Official - Prefix:MRS
Authorized Official - First Name:OYENIKE
Authorized Official - Middle Name:RISIKAT
Authorized Official - Last Name:ABIDOYE
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:972-966-9023
Mailing Address - Street 1:2900 CRESTHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75149-3573
Mailing Address - Country:US
Mailing Address - Phone:972-966-9023
Mailing Address - Fax:972-290-9157
Practice Address - Street 1:2900 CRESTHAVEN DR
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75149-3573
Practice Address - Country:US
Practice Address - Phone:972-966-9023
Practice Address - Fax:972-290-9157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-02
Last Update Date:2009-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPEENDING251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health