Provider Demographics
NPI:1093400947
Name:AMAZING HOME CARE & COMPANIONSHIP
Entity Type:Organization
Organization Name:AMAZING HOME CARE & COMPANIONSHIP
Other - Org Name:HOMECARE PROVIDER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:FAUSTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:O ABEBIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-382-7082
Mailing Address - Street 1:1 PLAINVIEW DR
Mailing Address - Street 2:
Mailing Address - City:DANIELSON
Mailing Address - State:CT
Mailing Address - Zip Code:06239-2032
Mailing Address - Country:US
Mailing Address - Phone:860-382-7082
Mailing Address - Fax:
Practice Address - Street 1:1 PLAINVIEW DR
Practice Address - Street 2:
Practice Address - City:DANIELSON
Practice Address - State:CT
Practice Address - Zip Code:06239-2032
Practice Address - Country:US
Practice Address - Phone:240-463-4517
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-06
Last Update Date:2023-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty