Provider Demographics
NPI:1992025035
Name:AMMA HOME HEALTH CARE INC.
Entity Type:Organization
Organization Name:AMMA HOME HEALTH CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:PASTORA
Authorized Official - Middle Name:SIWA
Authorized Official - Last Name:MANUEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-715-9456
Mailing Address - Street 1:1620 PEBBLEWOOD LN
Mailing Address - Street 2:SUITE 216
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-9075
Mailing Address - Country:US
Mailing Address - Phone:630-369-2680
Mailing Address - Fax:630-369-2886
Practice Address - Street 1:1620 PEBBLEWOOD LN
Practice Address - Street 2:SUITE 216
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-9075
Practice Address - Country:US
Practice Address - Phone:630-369-2680
Practice Address - Fax:630-369-2886
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-10
Last Update Date:2010-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1011215251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health