Provider Demographics
NPI:1487196523
Name:AMAZING HOME CARE
Entity Type:Organization
Organization Name:AMAZING HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:H
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:757-591-0020
Mailing Address - Street 1:403 GRACE ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:SMITHFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23430-1137
Mailing Address - Country:US
Mailing Address - Phone:757-880-7110
Mailing Address - Fax:757-310-6516
Practice Address - Street 1:403 GRACE ST
Practice Address - Street 2:SUITE B
Practice Address - City:SMITHFIELD
Practice Address - State:VA
Practice Address - Zip Code:23430-1137
Practice Address - Country:US
Practice Address - Phone:757-880-7110
Practice Address - Fax:757-310-6516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-07
Last Update Date:2016-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO171539251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care