Provider Demographics
NPI:1346839172
Name:AMAKA PASSION, INC
Entity Type:Organization
Organization Name:AMAKA PASSION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:AMARA
Authorized Official - Middle Name:M
Authorized Official - Last Name:KAMARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-443-9636
Mailing Address - Street 1:134 CHESTER AVE
Mailing Address - Street 2:
Mailing Address - City:YEADON
Mailing Address - State:PA
Mailing Address - Zip Code:19050-3831
Mailing Address - Country:US
Mailing Address - Phone:347-443-9636
Mailing Address - Fax:
Practice Address - Street 1:134 CHESTER AVE
Practice Address - Street 2:
Practice Address - City:YEADON
Practice Address - State:PA
Practice Address - Zip Code:19050-3831
Practice Address - Country:US
Practice Address - Phone:347-443-9636
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-15
Last Update Date:2021-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health