| Organization Name: | AMADI HOME CARE INC |
| NPI Number: | 1750773990 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHERLONDA ENAGBARE (ADMINISTRATOR/OWNER) |
| Mailing Address: | 4047 Holcomb Bridge Rd Suite 230 Norcross |
| State: | GA US |
| Postal Code: | 300921842 |
| Phone Number: | 4702686258 |
| Fax Number: | 4703758801 |
| NPI Enumeration Date: | 02/25/2015 |
| NPI Last Update Date: | 02/25/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | 067-R-1369 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |