Provider Demographics
NPI:1356015846
Name:AMAZING HEALTH CARE AGENCY LLC
Entity Type:Organization
Organization Name:AMAZING HEALTH CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:CEARRA
Authorized Official - Middle Name:
Authorized Official - Last Name:WARNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:920-254-5041
Mailing Address - Street 1:PO BOX 85
Mailing Address - Street 2:
Mailing Address - City:SHEBOYGAN
Mailing Address - State:WI
Mailing Address - Zip Code:53082-0085
Mailing Address - Country:US
Mailing Address - Phone:920-254-5041
Mailing Address - Fax:
Practice Address - Street 1:1012 LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:SHEBOYGAN
Practice Address - State:WI
Practice Address - Zip Code:53081-2647
Practice Address - Country:US
Practice Address - Phone:920-254-5041
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-06
Last Update Date:2021-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health