Provider Demographics
NPI:1851079982
Name:AMITY SITTERS LLC
Entity Type:Organization
Organization Name:AMITY SITTERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHAQUITTA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-280-8805
Mailing Address - Street 1:2680 HIGHLAND AVE APT 921
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:CA
Mailing Address - Zip Code:92346-2157
Mailing Address - Country:US
Mailing Address - Phone:909-280-8805
Mailing Address - Fax:
Practice Address - Street 1:2680 HIGHLAND AVE APT 921
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:CA
Practice Address - Zip Code:92346-2157
Practice Address - Country:US
Practice Address - Phone:909-280-8805
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-10
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care