Provider Demographics
NPI:1902871502
Name:AMS HOMECARE USA INC.
Entity Type:Organization
Organization Name:AMS HOMECARE USA INC.
Other - Org Name:65PLUS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT AND CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:RANI
Authorized Official - Middle Name:K
Authorized Official - Last Name:GILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-999-0895
Mailing Address - Street 1:14339 NE 20TH ST
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98007-3735
Mailing Address - Country:US
Mailing Address - Phone:425-653-4077
Mailing Address - Fax:425-653-1637
Practice Address - Street 1:14339 NE 20TH ST
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98007-3735
Practice Address - Country:US
Practice Address - Phone:425-653-4077
Practice Address - Fax:425-653-1637
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
WACF58234333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9057100Medicaid
WA6028765Medicare ID - Type UnspecifiedPHARMACY
WA9057100Medicaid