Provider Demographics
NPI:1467092791
Name:AMAZING HOME CARE INC
Entity Type:Organization
Organization Name:AMAZING HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALFRED
Authorized Official - Middle Name:O
Authorized Official - Last Name:OLORUNLONA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-449-5451
Mailing Address - Street 1:3113 TRASSACKS DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27610-3682
Mailing Address - Country:US
Mailing Address - Phone:919-449-5451
Mailing Address - Fax:
Practice Address - Street 1:1631 MIDTOWN PL
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-1300
Practice Address - Country:US
Practice Address - Phone:919-449-5451
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-15
Last Update Date:2020-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care