Healthcare Provider Details

I. General information

NPI: 1477098390
Provider Name (Legal Business Name): AMOR HOME HEALTH AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2017
Last Update Date: 01/02/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1232 NORVIEW AVE UNIT W
NORFOLK VA
23513-2037
US

IV. Provider business mailing address

1232 NORVIEW AVE UNIT W
NORFOLK VA
23513-2037
US

V. Phone/Fax

Practice location:
  • Phone: 757-748-7769
  • Fax:
Mailing address:
  • Phone: 757-748-7769
  • 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: CATRINA BANKS
Title or Position: OWNER/ADMINISTRATOR
Credential:
Phone: 757-748-7769