Provider Demographics
NPI:1316191919
Name:AMICABLE HEALTHCARE
Entity Type:Organization
Organization Name:AMICABLE HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ESABELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:MBAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-257-2130
Mailing Address - Street 1:7001 NIGHTINGALE PL
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-3949
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:301-552-0060
Practice Address - Street 1:7001 NIGHTINGALE PL
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-3949
Practice Address - Country:US
Practice Address - Phone:202-257-2130
Practice Address - Fax:301-552-0060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-10
Last Update Date:2008-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health