Provider Demographics
NPI:1659906162
Name:AMAZING HEALTH CARE
Entity Type:Organization
Organization Name:AMAZING HEALTH CARE
Other - Org Name:SIMON ACHA
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SIMON
Authorized Official - Middle Name:
Authorized Official - Last Name:ACHA
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:781-632-8778
Mailing Address - Street 1:3324 MORSE RD STE H
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43231-9216
Mailing Address - Country:US
Mailing Address - Phone:781-632-8778
Mailing Address - Fax:
Practice Address - Street 1:3324 MORSE RD STE H
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43231-9216
Practice Address - Country:US
Practice Address - Phone:781-632-8778
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-04
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health