Provider Demographics
NPI:1609814300
Name:AMALGAMATED HOMECARE SERVICES LLC
Entity type:Organization
Organization Name:AMALGAMATED HOMECARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DARYL
Authorized Official - Middle Name:N
Authorized Official - Last Name:HOPPES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-642-9237
Mailing Address - Street 1:5113 THORNHILL LN
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:IN
Mailing Address - Zip Code:46011-8728
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5113 THORNHILL LN
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:IN
Practice Address - Zip Code:46011-8728
Practice Address - Country:US
Practice Address - Phone:765-642-9237
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health