Provider Demographics
NPI:1891157509
Name:AMOS HOUSE
Entity Type:Organization
Organization Name:AMOS HOUSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:EILEEN
Authorized Official - Middle Name:MARY
Authorized Official - Last Name:HAYES
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:401-272-0220
Mailing Address - Street 1:460 PINE ST
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02907-1358
Mailing Address - Country:US
Mailing Address - Phone:401-272-0220
Mailing Address - Fax:401-274-9372
Practice Address - Street 1:460 PINE ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02907-1358
Practice Address - Country:US
Practice Address - Phone:401-272-0220
Practice Address - Fax:401-274-9372
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-22
Last Update Date:2019-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase ManagementGroup - Single Specialty
No175T00000XOther Service ProvidersPeer SpecialistGroup - Single Specialty