Provider Demographics
NPI:1437929726
Name:AMAZING HEALTH CARE SERVICES INC
Entity Type:Organization
Organization Name:AMAZING HEALTH CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TAIWO
Authorized Official - Middle Name:O
Authorized Official - Last Name:MATTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-570-1566
Mailing Address - Street 1:2936 ANCON CT
Mailing Address - Street 2:
Mailing Address - City:EDGEWOOD
Mailing Address - State:MD
Mailing Address - Zip Code:21040-3418
Mailing Address - Country:US
Mailing Address - Phone:443-570-1566
Mailing Address - Fax:
Practice Address - Street 1:2936 ANCON CT
Practice Address - Street 2:
Practice Address - City:EDGEWOOD
Practice Address - State:MD
Practice Address - Zip Code:21040-3418
Practice Address - Country:US
Practice Address - Phone:443-570-1566
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service