Provider Demographics
NPI:1184200370
Name:AMORY HOME AND COMPANION CARE LLC
Entity Type:Organization
Organization Name:AMORY HOME AND COMPANION CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHERIKA
Authorized Official - Middle Name:SHAWAN
Authorized Official - Last Name:AMORY
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:346-813-5792
Mailing Address - Street 1:13562 BLUE MARLIN LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-4843
Mailing Address - Country:US
Mailing Address - Phone:346-813-5792
Mailing Address - Fax:
Practice Address - Street 1:13562 BLUE MARLIN LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-4843
Practice Address - Country:US
Practice Address - Phone:346-813-5792
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-19
Last Update Date:2021-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes347C00000XTransportation ServicesPrivate VehicleGroup - Single Specialty
No253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
No385H00000XRespite Care FacilityRespite Care