Healthcare Provider Details

I. General information

NPI: 1801597042
Provider Name (Legal Business Name): AMATUS CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2023
Last Update Date: 03/14/2023
Certification Date: 03/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 LIBERTY LN UNIT 11
SOUTH PORTLAND ME
04106-1971
US

IV. Provider business mailing address

4 CRESTWOOD DR
WESTBROOK ME
04092-4652
US

V. Phone/Fax

Practice location:
  • Phone: 207-493-0571
  • Fax:
Mailing address:
  • Phone: 207-493-0571
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. YVES MPUNDU
Title or Position: CEO
Credential:
Phone: 207-493-0571