# AMOR HOMECARE OF INDIANA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588389803
- **Authorized official:** AGUSTIN PRADO (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (917) 226-0509

## Contact information

- **Practice address:** 501 VILLAGE CT APT 304, JASPER, IN 47546-1140
- **Practice address phone:** (917) 226-0509
- **Mailing address:** 11027 106TH ST FL 2, OZONE PARK, NY 11417-2614
- **Mailing address phone:** (917) 226-0509

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 3747P1801X | Personal Care Attendant | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | — | — |

## Other

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