Provider Demographics
NPI:1730799792
Name:AMAT HOME HEALTHCARE SERVICES LLC
Entity type:Organization
Organization Name:AMAT HOME HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/COO
Authorized Official - Prefix:
Authorized Official - First Name:ANIAGU
Authorized Official - Middle Name:O
Authorized Official - Last Name:NWAFOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-994-9356
Mailing Address - Street 1:7048 MIRAMAR
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75054-5562
Mailing Address - Country:US
Mailing Address - Phone:214-994-9356
Mailing Address - Fax:
Practice Address - Street 1:7048 MIRAMAR
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75054-5562
Practice Address - Country:US
Practice Address - Phone:214-994-9356
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-05
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No251E00000XAgenciesHome Health