Provider Demographics
NPI:1871059865
Name:AMARIS HOME HEALTH CARE AGENCY
Entity type:Organization
Organization Name:AMARIS HOME HEALTH CARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GORMAH
Authorized Official - Middle Name:
Authorized Official - Last Name:KOLLEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-888-4813
Mailing Address - Street 1:14901 E HAMPDEN AVE STE 230
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-5055
Mailing Address - Country:US
Mailing Address - Phone:720-502-6355
Mailing Address - Fax:
Practice Address - Street 1:14901 E HAMPDEN AVE STE 230
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-5055
Practice Address - Country:US
Practice Address - Phone:720-502-6355
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-14
Last Update Date:2019-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty
No253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty