Provider Demographics
NPI:1275975211
Name:AMARAMEDICAL HEALTH CARE SERVICES INC.
Entity Type:Organization
Organization Name:AMARAMEDICAL HEALTH CARE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRANDI
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:COLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-680-0367
Mailing Address - Street 1:2694 GRACES RUN RD
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45697-9016
Mailing Address - Country:US
Mailing Address - Phone:513-680-0367
Mailing Address - Fax:937-695-0375
Practice Address - Street 1:6766 STATE ROUTE 128
Practice Address - Street 2:
Practice Address - City:CLEVES
Practice Address - State:OH
Practice Address - Zip Code:45002
Practice Address - Country:US
Practice Address - Phone:513-353-1677
Practice Address - Fax:513-353-1671
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-18
Last Update Date:2013-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH53001175251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2637481Medicaid