Organization
AMOR HOMECARE OF INDIANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AGUSTIN PRADO (EXECUTIVE DIRECTOR)
(917) 226-0509
Entity
Organization
Contact information
Practice address
501 VILLAGE CT APT 304, JASPER, IN 47546-1140
(917) 226-0509
Mailing address
11027 106TH ST FL 2, OZONE PARK, NY 11417-2614
(917) 226-0509
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22-015807-1
HOMECARE LICENSE
IN
Enumeration date
10/10/2022
Last updated
10/10/2022
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