MEDICARE: AMP HOME CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1366034357
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMP HOME CARE

Provider Business Mailing Address
First Line	:	4185 IVANHOE DR APT 316
Second Line	:
City	:	MONROEVILLE
State	:	PA
Zip	:	15146-2628
Country	:	US
Telephone Number	:	412-371-8763
Fax Number	:

Provider Business Practice Location Address
First Line	:	1916 LAKETON RD FL 1
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15221-1206
Country	:	US
Telephone Number	:	412-242-0246
Fax Number	:

Authorized Official
Title or Position	:	PROGRAM DIRECTOR
Name	:	KRYSTIE R STILES
Credential	:
Telephone Number	:	412-350-8349

Provider Enumeration Date	:	02/10/2021
Last Update Date	:	02/10/2021

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Directions to “AMP HOME CARE ” Practice Location

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