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Contact Information

AMICUS HOME CARE
3469 LAWRENCEVILLE HWY STE 304
TUCKER, GA30084-5890
 Phone: 770-939-0146
 Fax: 770-939-0145
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
 

In Home Supportive Care

253Z00000X
 

Nursing Care

251J00000X
Indicates primary specialty

NPI Profile & details for AMICUS HOME CARE

NPI Number 1447569173
LBN Legal business name AMICUS HOME CARE
Authorized official OSARETIN ISIBOR - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 09/29/2010
Last updated 07/10/2024 - More than a year ago
Identifiers
GA License # 122-R-0514
GA Medicaid 003201115A
GA Medicaid 003201116A
GA Medicaid 919016846C
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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