Amanda'S Care Home Llc

LBN: Amanda'S Care Home Llc
Amanda'S Care Home Llc is an health care organization with primary practice located at 8647 E Pampa Ave , Mesa AZ 85212-1787. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as the primary health care specialty. Amanda'S Care Home Llc can be contacted via phone (480) 373-8437, or through Butas, Marius A via phone (480) 373-8437.

Contact Information

Primary practice address
8647 E Pampa Ave Mesa AZ 85212-1787
Phone: (480) 373-8437
Fax: (480) 373-8438
Website:
Map and Directions
Authorized official contact:
Name: Butas, Marius A MANAGER
Phone: (480) 373-8437

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X ALH-A108 Arizona

Profile Details

NPI number 1811044944
LBN Legal business name Amanda'S Care Home Llc
DBA Doing business as
Authorized official Butas, Marius A MANAGER
Entity Organization
Organization subpart 1 No
Enumeration date Jan 4th, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811044944 NPPES
Arizona Other 774267 AHCCCS PROVIDER ID NUMBER

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