MEDICARE: AMORE ENCHANTED HOMECARE AGENCY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1326914557
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMORE ENCHANTED HOMECARE AGENCY LLC

Provider Business Mailing Address
First Line	:	6129 SHALLOW WOOD LN
Second Line	:
City	:	DOUGLASVILLE
State	:	GA
Zip	:	30135-5435
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	189 S ORANGE AVE
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32801-3254
Country	:	US
Telephone Number	:	470-300-9051
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SHANEQUA PIERCE
Credential	:
Telephone Number	:	678-668-1791

Provider Enumeration Date	:	10/14/2025
Last Update Date	:	01/05/2026

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