Healthcare Provider Details

I. General information

NPI: 1740945195
Provider Name (Legal Business Name): AMOR HOMECARE INC OF CT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2021
Last Update Date: 11/01/2021
Certification Date: 10/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

61 SCOVILLE ST
TORRINGTON CT
06790-6744
US

IV. Provider business mailing address

11027 106TH ST
OZONE PARK NY
11417-2614
US

V. Phone/Fax

Practice location:
  • Phone: 917-226-0509
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: AGUSTIN PRADO
Title or Position: CHIEF MARKETING OFFICER
Credential:
Phone: 917-226-0509