MEDICARE: AMORE HOME HEALTH 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	251E00000X	Home Health Agency	090121211	IN
2	251E00000X	Home Health Agency	14-012121-1	IN

General Provider Information

NPI Number	:	1922239706
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMORE HOME HEALTH CARE SERVICES, INC.

Provider Business Mailing Address
First Line	:	9209 WICKER AVE
Second Line	:	SUTIE WEST
City	:	SAINT JOHN
State	:	IN
Zip	:	46373-9782
Country	:	US
Telephone Number	:	219-627-3522
Fax Number	:	219-627-3524

Provider Business Practice Location Address
First Line	:	9209 WICKER AVE
Second Line	:	SUTIE WEST
City	:	SAINT JOHN
State	:	IN
Zip	:	46373-9782
Country	:	US
Telephone Number	:	219-627-3522
Fax Number	:	219-627-3524

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	DOROTHY BRINAS
Credential	:
Telephone Number	:	219-627-3522

Provider Enumeration Date	:	07/28/2009
Last Update Date	:	07/28/2015

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