Provider Demographics
NPI:1558799379
Name:AMAZING HOME HEALTHCARE INC
Entity Type:Organization
Organization Name:AMAZING HOME HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMAKA
Authorized Official - Middle Name:
Authorized Official - Last Name:NNAKWU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-421-3224
Mailing Address - Street 1:3517 LANGREHR RD STE 101
Mailing Address - Street 2:
Mailing Address - City:WINDSOR MILL
Mailing Address - State:MD
Mailing Address - Zip Code:21244-3076
Mailing Address - Country:US
Mailing Address - Phone:240-421-3224
Mailing Address - Fax:410-630-8132
Practice Address - Street 1:3517 LANGREHR RD STE 101
Practice Address - Street 2:
Practice Address - City:WINDSOR MILL
Practice Address - State:MD
Practice Address - Zip Code:21244-3076
Practice Address - Country:US
Practice Address - Phone:240-421-3224
Practice Address - Fax:410-630-8132
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-15
Last Update Date:2013-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR2829R251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD=========Medicaid