Amirah Healthcare LLC
In Home Supportive Care in Jacksonville, FL. Organization (NPI-2).
NPI number1497462873
StatusActive
Last updated in NPPESNov 3, 2022
Details
- NPI
- 1497462873
- Entity type
- Organization (NPI-2)
- Legal business name
- Amirah Healthcare LLC
- Organization subpart
- No
- Enumeration date
- Nov 3, 2022
- Certification date
- Nov 3, 2022
- Last updated
- Nov 3, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
| 372600000X | Adult Companion | – | – | |
| 374U00000X | Home Health Aide | – | – | |
| 376J00000X | Homemaker | – | – | |
| 376K00000X | Nurse's Aide | – | – |
Practice location
13475 Atlantic Blvd Ste 8Jacksonville, FL 32225-3290
Phone 904-319-5501
Mailing address
13475 Atlantic Blvd Ste 8Jacksonville, FL 32225-3290
Phone 904-319-5501
Authorized official
Juantavis Hudson
Ceo
9043195501
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