Provider Demographics
NPI:1740481597
Name:AMCARE RESIDENTIAL LIVING INC
Entity type:Organization
Organization Name:AMCARE RESIDENTIAL LIVING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:JEFFERSON-BORTEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-686-9993
Mailing Address - Street 1:11500 NORTHWEST FWY
Mailing Address - Street 2:SUITE 580
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77092-6530
Mailing Address - Country:US
Mailing Address - Phone:713-686-9993
Mailing Address - Fax:713-686-9994
Practice Address - Street 1:11500 NORTHWEST FWY
Practice Address - Street 2:SUITE 580
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77092-6530
Practice Address - Country:US
Practice Address - Phone:713-686-9993
Practice Address - Fax:713-686-9994
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management