Provider Demographics
NPI:1992000723
Name:AMAIN FAMILY HOMECARE SERVICES, INC
Entity Type:Organization
Organization Name:AMAIN FAMILY HOMECARE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MEOOVER
Authorized Official - Middle Name:
Authorized Official - Last Name:AMAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-458-4199
Mailing Address - Street 1:6702 E BROADWAY AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33619-1709
Mailing Address - Country:US
Mailing Address - Phone:813-458-4199
Mailing Address - Fax:813-458-4199
Practice Address - Street 1:6702 E BROADWAY AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33619-1709
Practice Address - Country:US
Practice Address - Phone:813-458-4199
Practice Address - Fax:813-458-4199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-26
Last Update Date:2011-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL139522251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health