Provider Demographics
NPI:1124634399
Name:AMBER HOUSE STAFFING, LLC
Entity type:Organization
Organization Name:AMBER HOUSE STAFFING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-285-5052
Mailing Address - Street 1:611 SUMMIT AVE STE 4
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27405-7746
Mailing Address - Country:US
Mailing Address - Phone:336-285-5052
Mailing Address - Fax:336-285-5135
Practice Address - Street 1:611 SUMMIT AVE STE 4
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27405-7746
Practice Address - Country:US
Practice Address - Phone:336-285-5052
Practice Address - Fax:336-285-5135
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-22
Last Update Date:2020-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty