Provider Demographics
NPI:1285380519
Name:AMICARE HOME SERVICES, LLC
Entity type:Organization
Organization Name:AMICARE HOME SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER, CEO
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:TIENORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-339-5444
Mailing Address - Street 1:557 MAIN ST STE 2
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07050-1584
Mailing Address - Country:US
Mailing Address - Phone:908-287-9444
Mailing Address - Fax:908-417-5020
Practice Address - Street 1:557 MAIN ST STE 2
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07050-1584
Practice Address - Country:US
Practice Address - Phone:908-287-9444
Practice Address - Fax:908-417-5020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-24
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health