# AMBEMAA HOMECARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** divine homecare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417674490
- **Authorized official:** MR. SAMIR PATEL RPH (OWNER ADMIN)
- **Authorized official phone:** (973) 462-4429

## Contact information

- **Practice address:** 100 BUSINESS PKWY \# A-D, PIEDMONT, SC 29673-6707
- **Practice address phone:** (973) 462-4429
- **Practice address fax:** (864) 671-0301
- **Mailing address:** 12 WHITETHORN LN, GREENVILLE, SC 29607-5676
- **Mailing address phone:** (973) 462-4429
- **Mailing address fax:** (864) 671-0301

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 10/20/2022
- **Last updated:** 10/20/2022