Amata Home Care Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

AMATA HOME CARE INC.

Practice address

417 Arboretum Way
Oswego, IL 60543-8379

Phone

(708) 244-0212

Fax

(331) 717-2157

NPI assigned

Jun 8, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Mediatrice Munyaneza

Title

Ceo

Phone

(708) 244-0212

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1831828458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 ARBORETUM WAY",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605438379",
            "telephone_number": "708-244-0212",
            "fax_number": "331-717-2157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 ARBORETUM WAY",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605438379",
            "telephone_number": "708-244-0212",
            "fax_number": "331-717-2157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMATA HOME CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-08",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "MUNYANEZA",
        "authorized_official_first_name": "MEDIATRICE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "708-244-0212",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "HPLaptop",
            "affiliation": "N",
            "endpointDescription": "HPLaptop",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "417 Arboretum Way",
            "city": "Oswego",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605438379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.