Healthcare Provider Details

I. General information

NPI: 1144862277
Provider Name (Legal Business Name): AMITY ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2019
Last Update Date: 11/06/2022
Certification Date: 11/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6296 CORPORATE CT UNIT A201-C
FORT MYERS FL
33919-3500
US

IV. Provider business mailing address

11515 MEADOWRUN CIR
FORT MYERS FL
33913-9066
US

V. Phone/Fax

Practice location:
  • Phone: 361-246-0654
  • Fax:
Mailing address:
  • Phone:
  • 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: ANKITA KORDE
Title or Position: PRESIDENT
Credential:
Phone: 361-246-0654