Provider Demographics
NPI:1831828458
Name:AMATA HOME CARE INC.
Entity type:Organization
Organization Name:AMATA HOME CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MEDIATRICE
Authorized Official - Middle Name:
Authorized Official - Last Name:MUNYANEZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-244-0212
Mailing Address - Street 1:417 ARBORETUM WAY
Mailing Address - Street 2:
Mailing Address - City:OSWEGO
Mailing Address - State:IL
Mailing Address - Zip Code:60543-8379
Mailing Address - Country:US
Mailing Address - Phone:708-244-0212
Mailing Address - Fax:331-717-2157
Practice Address - Street 1:417 ARBORETUM WAY
Practice Address - Street 2:
Practice Address - City:OSWEGO
Practice Address - State:IL
Practice Address - Zip Code:60543-8379
Practice Address - Country:US
Practice Address - Phone:708-244-0212
Practice Address - Fax:331-717-2157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-08
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities