MEDICARE: AMORY HOME AND COMPANION CARE LLC

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	347C00000X	Private Vehicle
2	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1699351221
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMORY HOME AND COMPANION CARE LLC

Provider Business Mailing Address
First Line	:	13562 BLUE MARLIN LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77083-4843
Country	:	US
Telephone Number	:	346-813-5792
Fax Number	:

Provider Business Practice Location Address
First Line	:	13562 BLUE MARLIN LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77083-4843
Country	:	US
Telephone Number	:	832-459-0371
Fax Number	:

Authorized Official
Title or Position	:	ADN
Name	:	SHERIKA SHAWAN AMORY
Credential	:	LVN
Telephone Number	:	832-459-0371

Provider Enumeration Date	:	03/23/2021
Last Update Date	:	08/12/2022

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