Provider Demographics
NPI:1700160405
Name:AMREEN HOME INC
Entity type:Organization
Organization Name:AMREEN HOME INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER /ADMINISTRATOR/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:BALBINDER
Authorized Official - Middle Name:KAUR
Authorized Official - Last Name:JAMMU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-751-1601
Mailing Address - Street 1:PO BOX 1567
Mailing Address - Street 2:
Mailing Address - City:VALLEY CENTER
Mailing Address - State:CA
Mailing Address - Zip Code:92082-1567
Mailing Address - Country:US
Mailing Address - Phone:760-751-1601
Mailing Address - Fax:760-749-3019
Practice Address - Street 1:13873 OAKWOOD GLEN PL
Practice Address - Street 2:
Practice Address - City:VALLEY CENTER
Practice Address - State:CA
Practice Address - Zip Code:92082-5813
Practice Address - Country:US
Practice Address - Phone:760-751-9879
Practice Address - Fax:760-749-3019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-29
Last Update Date:2011-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities