Healthcare Provider Details

I. General information

NPI: 1144760018
Provider Name (Legal Business Name): AMOR HOMECARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2017
Last Update Date: 10/23/2024
Certification Date: 10/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3215 FULTON ST
BROOKLYN NY
11208-1907
US

IV. Provider business mailing address

11027 106 ST
QUEENS NY
11417
US

V. Phone/Fax

Practice location:
  • Phone: 917-520-7843
  • Fax:
Mailing address:
  • Phone: 917-520-7843
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. JANNITZA D. LUNA-DILAN
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 917-520-7843