Provider Demographics
NPI:1730857327
Name:AMACHAR GROUP LLC
Entity type:Organization
Organization Name:AMACHAR GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:AGODICHUKWU
Authorized Official - Middle Name:DONALD
Authorized Official - Last Name:AMIH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-235-0560
Mailing Address - Street 1:12615 ORCHARD SUMMIT DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77498-7364
Mailing Address - Country:US
Mailing Address - Phone:469-235-0560
Mailing Address - Fax:
Practice Address - Street 1:12615 ORCHARD SUMMIT DR
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77498-7364
Practice Address - Country:US
Practice Address - Phone:469-235-0560
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-31
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities