Provider Demographics
NPI:1497220636
Name:AMAZING COMPASSIONATE HEARTS HOME SERVICES
Entity Type:Organization
Organization Name:AMAZING COMPASSIONATE HEARTS HOME SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JILL
Authorized Official - Middle Name:ODINGO
Authorized Official - Last Name:HICKS
Authorized Official - Suffix:
Authorized Official - Credentials:MPH
Authorized Official - Phone:610-351-0436
Mailing Address - Street 1:145 FRONT ST
Mailing Address - Street 2:
Mailing Address - City:CATASAUQUA
Mailing Address - State:PA
Mailing Address - Zip Code:18032-1943
Mailing Address - Country:US
Mailing Address - Phone:610-351-0436
Mailing Address - Fax:
Practice Address - Street 1:145 FRONT ST
Practice Address - Street 2:
Practice Address - City:CATASAUQUA
Practice Address - State:PA
Practice Address - Zip Code:18032-1943
Practice Address - Country:US
Practice Address - Phone:610-351-0436
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-03
Last Update Date:2018-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA21323601OtherHOME CARE