Organization Active NPI

Amen Care Inc

  • Homemaker
  • Lake Mary, FL
National Provider Identifier
1023978483
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
Legal business name
AMEN CARE INC
Practice address
1869 Bridgewater Dr
Lake Mary, FL 32746-6910
Phone
(689) 350-1648
NPI assigned
Nov 17, 2025
Last updated
Nov 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Hannibal Shabo
Title
Administrator
Phone
(689) 350-1648

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU
Home Health Aide 374U00000X NU
Homemaker 376J00000X NU Primary

Addresses

Primary practice location

1869 Bridgewater Dr
Lake Mary, FL 32746-6910

Mailing address

1869 Bridgewater Dr
Lake Mary, FL 32746-6910
Phone (689) 350-1648

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1763337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763337600000",
    "number": "1023978483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1869 BRIDGEWATER DR",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327466910",
            "telephone_number": "689-350-1648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1869 BRIDGEWATER DR",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327466910",
            "telephone_number": "689-350-1648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEN CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-17",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A",
        "authorized_official_last_name": "SHABO",
        "authorized_official_first_name": "HANNIBAL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "689-350-1648"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.