Healthcare Provider Details

I. General information

NPI: 1609380419
Provider Name (Legal Business Name): AMOR HOME HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2017
Last Update Date: 12/01/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

722 E MARKET ST STE 103
LEESBURG VA
20176-4475
US

IV. Provider business mailing address

722 E MARKET ST STE 103
LEESBURG VA
20176-4475
US

V. Phone/Fax

Practice location:
  • Phone: 703-477-1281
  • Fax: 571-313-8207
Mailing address:
  • Phone: 703-477-1281
  • Fax: 571-313-8207

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 Code385HR2065X
TaxonomyChild Physical Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: JASWINDER KAUR
Title or Position: OFFICE MANAGER
Credential:
Phone: 703-477-1281