Healthcare Provider Details

I. General information

NPI: 1801741608
Provider Name (Legal Business Name): AMITY HEALTH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2026
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 THEMIS ST APT 4
CAPE GIRARDEAU MO
63701-5489
US

IV. Provider business mailing address

402 S SPRIGG ST
CAPE GIRARDEAU MO
63703-6855
US

V. Phone/Fax

Practice location:
  • Phone: 573-910-7030
  • Fax:
Mailing address:
  • Phone: 573-803-0520
  • 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: JAYON JONES
Title or Position: OWNER
Credential:
Phone: 573-910-7030