Healthcare Provider Details

I. General information

NPI: 1760101034
Provider Name (Legal Business Name): AMARE HOME HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2022
Last Update Date: 08/22/2022
Certification Date: 08/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4959 PALO VERDE ST # 200C-5
MONTCLAIR CA
91763-2331
US

IV. Provider business mailing address

4959 PALO VERDE ST # 200C-5
MONTCLAIR CA
91763-2331
US

V. Phone/Fax

Practice location:
  • Phone: 626-863-5437
  • Fax:
Mailing address:
  • Phone: 626-863-5437
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: HAZEL GALVEZ
Title or Position: CFO
Credential:
Phone: 626-863-5437