Healthcare Provider Details

I. General information

NPI: 1538768171
Provider Name (Legal Business Name): AMUN- RA HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2020
Last Update Date: 10/24/2020
Certification Date: 10/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6446 TABOGI TRL
WESLEY CHAPEL FL
33545-1360
US

IV. Provider business mailing address

5804 BOYETTE RD UNIT 7072
WESLEY CHAPEL FL
33545-8003
US

V. Phone/Fax

Practice location:
  • Phone: 813-679-8710
  • Fax:
Mailing address:
  • Phone: 813-679-8710
  • 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 Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: KEITH DUHART
Title or Position: AUTHORIZED OFFICIAL
Credential: LPN
Phone: 813-679-8710