Healthcare Provider Details

I. General information

NPI: 1366139933
Provider Name (Legal Business Name): AMEN HOME HEALTH CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2023
Last Update Date: 04/24/2023
Certification Date: 04/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2210 E LA SALLE ST STE 113
COLORADO SPRINGS CO
80909-2358
US

IV. Provider business mailing address

2210 E LA SALLE ST STE 113
COLORADO SPRINGS CO
80909-2358
US

V. Phone/Fax

Practice location:
  • Phone: 719-437-3610
  • Fax:
Mailing address:
  • Phone: 719-437-3610
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: AMARE GEREMEW
Title or Position: ADMINISTRATOR
Credential:
Phone: 303-886-8894