Healthcare Provider Details

I. General information

NPI: 1053104414
Provider Name (Legal Business Name): AMORE AT HOME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2025
Last Update Date: 06/05/2025
Certification Date: 06/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6217 COLMAR PL
APOLLO BEACH FL
33572-1617
US

IV. Provider business mailing address

6710 HAZELNUT SPICE DR
SUN CITY CENTER FL
33573-0142
US

V. Phone/Fax

Practice location:
  • Phone: 727-565-3018
  • Fax:
Mailing address:
  • Phone: 727-565-3018
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: ANGELITA BOWERS
Title or Position: OWNER
Credential:
Phone: 727-565-3018