Provider Demographics
NPI:1619295268
Name:AMATUS HEALTH CARE LLC
Entity Type:Organization
Organization Name:AMATUS HEALTH CARE LLC
Other - Org Name:INTEGRIS HOME HEALTH CARE LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SAJI
Authorized Official - Middle Name:
Authorized Official - Last Name:RAJU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-249-4999
Mailing Address - Street 1:2010 VALLEY VIEW LN STE 200
Mailing Address - Street 2:
Mailing Address - City:FARMERS BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:75234-8915
Mailing Address - Country:US
Mailing Address - Phone:972-249-4999
Mailing Address - Fax:972-468-6991
Practice Address - Street 1:2010 VALLEY VIEW LN STE 200
Practice Address - Street 2:
Practice Address - City:FARMERS BRANCH
Practice Address - State:TX
Practice Address - Zip Code:75234-8915
Practice Address - Country:US
Practice Address - Phone:972-249-4999
Practice Address - Fax:972-468-6991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-06
Last Update Date:2021-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX016315251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX309929301Medicaid
TX309929301Medicaid