Provider Demographics
NPI:1609423672
Name:AMC CARE, INC
Entity Type:Organization
Organization Name:AMC CARE, INC
Other - Org Name:AMC CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HODAN
Authorized Official - Middle Name:0
Authorized Official - Last Name:MOHAMUD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-377-6943
Mailing Address - Street 1:5901 BROOKLYN BLVD STE 205
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN CENTER
Mailing Address - State:MN
Mailing Address - Zip Code:55429-2533
Mailing Address - Country:US
Mailing Address - Phone:763-208-2973
Mailing Address - Fax:763-208-2933
Practice Address - Street 1:5901 BROOKLYN BLVD STE 205
Practice Address - Street 2:
Practice Address - City:BROOKLYN PARK
Practice Address - State:MN
Practice Address - Zip Code:55429-2533
Practice Address - Country:US
Practice Address - Phone:763-208-2973
Practice Address - Fax:763-208-2933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-23
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health