Healthcare Provider Details

I. General information

NPI: 1154969681
Provider Name (Legal Business Name): AMECARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2019
Last Update Date: 12/16/2019
Certification Date: 12/16/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3300 COUNTY ROAD 10 STE 320I
BROOKLYN CENTER MN
55429-3072
US

IV. Provider business mailing address

3300 COUNTY ROAD 10 STE 320I
BROOKLYN CENTER MN
55429-3072
US

V. Phone/Fax

Practice location:
  • Phone: 612-226-7255
  • Fax:
Mailing address:
  • Phone: 612-226-7255
  • 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: DANIEL AMENYA
Title or Position: DIRECTOR OF NURSING
Credential: RN
Phone: 612-226-7255