Provider Demographics
NPI:1871310094
Name:AMEN HOME HEALTH CARE LLC
Entity type:Organization
Organization Name:AMEN HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OREZIME
Authorized Official - Middle Name:FLORENCE
Authorized Official - Last Name:JOCKEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-729-4190
Mailing Address - Street 1:2470 WINDY HILL RD SE STE 300
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30067-8621
Mailing Address - Country:US
Mailing Address - Phone:404-729-4190
Mailing Address - Fax:
Practice Address - Street 1:2470 WINDY HILL RD SE STE 300
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30067-8621
Practice Address - Country:US
Practice Address - Phone:404-729-4190
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-20
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health