Provider Demographics
NPI:1114358736
Name:AMAZING CARE HOME HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:AMAZING CARE HOME HEALTH SERVICES, LLC
Other - Org Name:N/A
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:K
Authorized Official - Last Name:KEAR
Authorized Official - Suffix:
Authorized Official - Credentials:FARMER
Authorized Official - Phone:267-226-4499
Mailing Address - Street 1:1714 GRANT AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19115-3125
Mailing Address - Country:US
Mailing Address - Phone:267-226-4499
Mailing Address - Fax:215-969-4500
Practice Address - Street 1:1714 GRANT AVE STE 3
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19115-3125
Practice Address - Country:US
Practice Address - Phone:267-226-4499
Practice Address - Fax:215-969-4500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-07
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA04960501251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health