Healthcare Provider Details

I. General information

NPI: 1528996840
Provider Name (Legal Business Name): AMAT HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5710 SIX FORKS RD STE 201
RALEIGH NC
27609-8617
US

IV. Provider business mailing address

7216 GREAT LAUREL DR
RALEIGH NC
27616-3330
US

V. Phone/Fax

Practice location:
  • Phone: 919-971-4540
  • Fax:
Mailing address:
  • Phone: 919-971-4540
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: TOBIAS AMADIKE
Title or Position: AGENCY DIRECTOR
Credential:
Phone: 919-971-4540