Provider Demographics
NPI:1629694252
Name:AMAZING ANGELS SR.HOMECARE
Entity Type:Organization
Organization Name:AMAZING ANGELS SR.HOMECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NADINE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:NICHOLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-801-8866
Mailing Address - Street 1:1734 BIRDSONG ST
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37915-2301
Mailing Address - Country:US
Mailing Address - Phone:865-801-8866
Mailing Address - Fax:865-247-6692
Practice Address - Street 1:1734 BIRDSONG ST
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37915-2301
Practice Address - Country:US
Practice Address - Phone:865-801-8866
Practice Address - Fax:865-247-6692
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-19
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty