Healthcare Provider Details

I. General information

NPI: 1760256499
Provider Name (Legal Business Name): AMEN CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2023
Last Update Date: 11/13/2023
Certification Date: 11/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10101 E COLFAX AVE
AURORA CO
80010-2212
US

IV. Provider business mailing address

24508 E ADA AVE
AURORA CO
80018-4690
US

V. Phone/Fax

Practice location:
  • Phone: 678-793-9988
  • Fax:
Mailing address:
  • Phone: 678-793-9988
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARIA ABRAHA
Title or Position: ADMINISTRATOR
Credential:
Phone: 678-793-9988