Provider Demographics
NPI:1558896910
Name:AMITY HEALTHCARE GROUP INC
Entity Type:Organization
Organization Name:AMITY HEALTHCARE GROUP INC
Other - Org Name:ABUNDANT LIFE CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MERCY
Authorized Official - Middle Name:C
Authorized Official - Last Name:QUACHIE
Authorized Official - Suffix:
Authorized Official - Credentials:LNFA, MBA
Authorized Official - Phone:972-365-9200
Mailing Address - Street 1:102 EASTRIDGE COURT
Mailing Address - Street 2:
Mailing Address - City:WYLIE
Mailing Address - State:TX
Mailing Address - Zip Code:75098
Mailing Address - Country:US
Mailing Address - Phone:972-365-9200
Mailing Address - Fax:
Practice Address - Street 1:102 EASTRIDGE COURT
Practice Address - Street 2:
Practice Address - City:WYLIE
Practice Address - State:TX
Practice Address - Zip Code:75098
Practice Address - Country:US
Practice Address - Phone:972-365-9200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-24
Last Update Date:2019-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health
No3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home