Provider Demographics
NPI:1326757063
Name:AMARA HOME CARE AGENCY, LLC
Entity Type:Organization
Organization Name:AMARA HOME CARE AGENCY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:IFEANYI
Authorized Official - Middle Name:
Authorized Official - Last Name:IZUAKOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-522-8956
Mailing Address - Street 1:1927 HIGH HOLLY LN
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27614-7796
Mailing Address - Country:US
Mailing Address - Phone:919-522-8956
Mailing Address - Fax:
Practice Address - Street 1:8396 SIX FORKS RD STE 201
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-3058
Practice Address - Country:US
Practice Address - Phone:919-522-8956
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-22
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care