Provider Demographics
NPI:1114170867
Name:AMAZING CARE HOME HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:AMAZING CARE HOME HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:BRENDA
Authorized Official - Last Name:SANAGUSTIN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:586-446-6713
Mailing Address - Street 1:33182 RYAN RD
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48310-6412
Mailing Address - Country:US
Mailing Address - Phone:586-446-6713
Mailing Address - Fax:586-446-2273
Practice Address - Street 1:33182 RYAN RD
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48310-6412
Practice Address - Country:US
Practice Address - Phone:586-446-6713
Practice Address - Fax:586-446-2273
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-28
Last Update Date:2011-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251E00000X251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI239125Medicare PIN