Provider Demographics
NPI:1861944795
Name:AMERIS
Entity type:Organization
Organization Name:AMERIS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MERLYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:CARSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-344-2852
Mailing Address - Street 1:6711 COLUMBIA GATEWAY DR
Mailing Address - Street 2:SUITE 475
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21046-2294
Mailing Address - Country:US
Mailing Address - Phone:866-991-7052
Mailing Address - Fax:
Practice Address - Street 1:6711 COLUMBIA GATEWAY DRIVE
Practice Address - Street 2:SUITE 475
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046
Practice Address - Country:US
Practice Address - Phone:866-991-7052
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:T.R.C HOLDINGS, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-10-26
Last Update Date:2016-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDHCSA1309019251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health