Provider Demographics
NPI:1154681849
Name:1 AMAZING HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:1 AMAZING HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-332-4598
Mailing Address - Street 1:5898 CLEVELAND AVE STE LL
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43231-6884
Mailing Address - Country:US
Mailing Address - Phone:614-332-4598
Mailing Address - Fax:614-899-0054
Practice Address - Street 1:5898 CLEVELAND AVE STE LL
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43231-6884
Practice Address - Country:US
Practice Address - Phone:614-332-4598
Practice Address - Fax:614-899-0054
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-29
Last Update Date:2019-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0097826Medicaid