Provider Demographics
NPI:1649996158
Name:AMANI CARE, LLC
Entity type:Organization
Organization Name:AMANI CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:NOUHOURI
Authorized Official - Middle Name:
Authorized Official - Last Name:SEPE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-352-8482
Mailing Address - Street 1:409 CUMBERLAND AVENUE
Mailing Address - Street 2:UNIT 101
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04101
Mailing Address - Country:US
Mailing Address - Phone:207-352-8482
Mailing Address - Fax:
Practice Address - Street 1:409 CUMBERLAND AVENUE
Practice Address - Street 2:UNIT 101
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04101
Practice Address - Country:US
Practice Address - Phone:207-352-8482
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-17
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332900000XSuppliersNon-Pharmacy Dispensing SiteGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty