MEDICARE: AMORSO AT HOME SENIOR AND DISABILTY CARE 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	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1538688155
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMORSO AT HOME SENIOR AND DISABILTY CARE LLC

Provider Business Mailing Address
First Line	:	5274 RIDGE AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45213-2542
Country	:	US
Telephone Number	:	513-761-6500
Fax Number	:

Provider Business Practice Location Address
First Line	:	5274 RIDGE AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45213-2542
Country	:	US
Telephone Number	:	513-761-6500
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	KARISHA THOMAS
Credential	:
Telephone Number	:	513-973-9512

Provider Enumeration Date	:	09/14/2017
Last Update Date	:	07/05/2023

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