Provider Demographics
NPI:1366650822
Name:AMEGAB HOME CARE
Entity Type:Organization
Organization Name:AMEGAB HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:EUGENIA
Authorized Official - Last Name:RAMENTOL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-261-3910
Mailing Address - Street 1:1145 SW 74TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-4537
Mailing Address - Country:US
Mailing Address - Phone:305-261-3910
Mailing Address - Fax:302-225-1289
Practice Address - Street 1:1145 SW 74TH CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-4537
Practice Address - Country:US
Practice Address - Phone:305-261-3910
Practice Address - Fax:302-225-1289
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL 10403310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility