Healthcare Provider Details

I. General information

NPI: 1639003114
Provider Name (Legal Business Name): AMOUR HOME CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12281 REVOLUTION CT
WALDORF MD
20602-4226
US

IV. Provider business mailing address

12281 REVOLUTION CT
WALDORF MD
20602-4226
US

V. Phone/Fax

Practice location:
  • Phone: 240-422-9113
  • Fax:
Mailing address:
  • Phone: 240-422-9113
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JENNY LETIDJEU
Title or Position: OWNER
Credential: MPH, BCBA
Phone: 240-422-9113