Provider Demographics
NPI:1932509189
Name:AMCARE PRIVATE DUTY CONSULTING
Entity Type:Organization
Organization Name:AMCARE PRIVATE DUTY CONSULTING
Other - Org Name:ALLEGIANCE CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:MICHNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-265-6700
Mailing Address - Street 1:13801 N DALE MABRY HWY
Mailing Address - Street 2:STE 200
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33618-2412
Mailing Address - Country:US
Mailing Address - Phone:813-265-6700
Mailing Address - Fax:813-265-4544
Practice Address - Street 1:13801 N DALE MABRY HWY
Practice Address - Street 2:STE 200
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33618-2412
Practice Address - Country:US
Practice Address - Phone:813-265-6700
Practice Address - Fax:813-265-4544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-25
Last Update Date:2014-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL30211619251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health