Provider Demographics
NPI:1003322983
Name:AMANECER PERSONAL HOME CARE LLC
Entity type:Organization
Organization Name:AMANECER PERSONAL HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:NATHALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEYVA ZAYAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-262-0484
Mailing Address - Street 1:7222 MAJORCA CT.
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912
Mailing Address - Country:US
Mailing Address - Phone:915-262-0484
Mailing Address - Fax:915-262-0483
Practice Address - Street 1:7222 MAJORCA CT.
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912
Practice Address - Country:US
Practice Address - Phone:915-262-0484
Practice Address - Fax:915-262-0483
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-14
Last Update Date:2018-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No251J00000XAgenciesNursing Care