Provider Demographics
NPI:1689659872
Name:AMED SERVICES LLC
Entity Type:Organization
Organization Name:AMED SERVICES LLC
Other - Org Name:AMED SERVICES, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF GROWTH OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:KATRINA
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:LANIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-932-1852
Mailing Address - Street 1:8900 EMMETT F LOWRY EXPY
Mailing Address - Street 2:SUITE 104
Mailing Address - City:TEXAS CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77591-9116
Mailing Address - Country:US
Mailing Address - Phone:409-935-7925
Mailing Address - Fax:409-935-7926
Practice Address - Street 1:8900 EMMETT F LOWRY EXPY STE 103A
Practice Address - Street 2:
Practice Address - City:TEXAS CITY
Practice Address - State:TX
Practice Address - Zip Code:77591-9117
Practice Address - Country:US
Practice Address - Phone:409-935-5165
Practice Address - Fax:409-935-8501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-09
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2264251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX024637301Medicaid
TXHH9805OtherBLUE CROSS BLUE SHIELD
TXHH9805OtherBLUE CROSS BLUE SHIELD