MEDICARE: AMITY IN-HOME CARE SERVICES INC.

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	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1629954854
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMITY IN-HOME CARE SERVICES INC.

Provider Business Mailing Address
First Line	:	3521 LOMITA BLVD STE 100
Second Line	:
City	:	TORRANCE
State	:	CA
Zip	:	90505-5041
Country	:	US
Telephone Number	:	310-408-8608
Fax Number	:	310-514-1144

Provider Business Practice Location Address
First Line	:	3521 LOMITA BLVD STE 100
Second Line	:
City	:	TORRANCE
State	:	CA
Zip	:	90505-5041
Country	:	US
Telephone Number	:	310-408-8608
Fax Number	:	310-514-1144

Authorized Official
Title or Position	:	CEO/PRESIDENT
Name	:	NANCY BANDOLA REYES
Credential	:
Telephone Number	:	310-408-8608

Provider Enumeration Date	:	08/13/2025
Last Update Date	:	08/13/2025

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