Provider Demographics
NPI:1801827852
Name:AMAKES QUALITY HOME CARE INC.
Entity Type:Organization
Organization Name:AMAKES QUALITY HOME CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIFFIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-884-1645
Mailing Address - Street 1:7827 WAKELEY PLZ
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68114-3651
Mailing Address - Country:US
Mailing Address - Phone:402-884-1645
Mailing Address - Fax:402-884-1647
Practice Address - Street 1:7827 WAKELEY PLZ
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-3651
Practice Address - Country:US
Practice Address - Phone:402-884-1645
Practice Address - Fax:402-884-1647
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2010-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEHHA1024251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025198100Medicaid
NE287124Medicare ID - Type Unspecified