Provider Demographics
NPI:1598547036
Name:HOPE AND AMAZING COMFORT CARE LLC
Entity Type:Organization
Organization Name:HOPE AND AMAZING COMFORT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OMAMEZI
Authorized Official - Middle Name:
Authorized Official - Last Name:OLOKOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-301-9461
Mailing Address - Street 1:1860 SW FOUNTAINVIEW BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:PORT SAINT LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34986-4528
Mailing Address - Country:US
Mailing Address - Phone:772-301-9461
Mailing Address - Fax:
Practice Address - Street 1:1860 SW FOUNTAINVIEW BLVD
Practice Address - Street 2:
Practice Address - City:PORT SAINT LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34986-4535
Practice Address - Country:US
Practice Address - Phone:772-301-9461
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-18
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care