Healthcare Provider Details

I. General information

NPI: 1720648652
Provider Name (Legal Business Name): AMATUS HEALTH CARE EAST TEXAS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2019
Last Update Date: 04/25/2023
Certification Date: 04/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 GILMER ST STE A
SULPHUR SPRINGS TX
75482-2773
US

IV. Provider business mailing address

2010 VALLEY VIEW LN STE 200
FARMERS BRANCH TX
75234-8915
US

V. Phone/Fax

Practice location:
  • Phone: 903-231-0402
  • Fax: 903-231-0403
Mailing address:
  • Phone: 972-249-4999
  • Fax: 972-468-6991

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 Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: DILLON MATHEW
Title or Position: OWNER
Credential: PA
Phone: 214-878-4746