Provider Demographics
NPI:1689873721
Name:AMAK HEALTH CARE AGENCY,INC.
Entity Type:Organization
Organization Name:AMAK HEALTH CARE AGENCY,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:NKECHINYERE
Authorized Official - Middle Name:
Authorized Official - Last Name:ORIAKU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-832-0875
Mailing Address - Street 1:3258 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14214-1334
Mailing Address - Country:US
Mailing Address - Phone:716-832-0875
Mailing Address - Fax:716-832-4836
Practice Address - Street 1:3258 MAIN ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14214-1334
Practice Address - Country:US
Practice Address - Phone:716-832-0875
Practice Address - Fax:716-832-4836
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AMAK HEALTH CARE AGENCY,INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-07-17
Last Update Date:2007-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01141753MedicaidSKILLED NURSING