Provider Demographics
NPI:1174669956
Name:AMBER HOME CARE, LLC
Entity Type:Organization
Organization Name:AMBER HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:PENTYALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-523-0668
Mailing Address - Street 1:150 E CAMPUS VIEW BLVD STE 160
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43235-6616
Mailing Address - Country:US
Mailing Address - Phone:614-523-0668
Mailing Address - Fax:
Practice Address - Street 1:150 E CAMPUS VIEW BLVD STE 160
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43235-6616
Practice Address - Country:US
Practice Address - Phone:614-523-0668
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2022-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health