Provider Demographics
NPI:1699413336
Name:AMAZING GEMS HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:AMAZING GEMS HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:TODD
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:832-643-6360
Mailing Address - Street 1:10413 JUNCTION PEAK DR
Mailing Address - Street 2:
Mailing Address - City:ROSHARON
Mailing Address - State:TX
Mailing Address - Zip Code:77583-3478
Mailing Address - Country:US
Mailing Address - Phone:832-643-6360
Mailing Address - Fax:
Practice Address - Street 1:10413 JUNCTION PEAK DR
Practice Address - Street 2:
Practice Address - City:ROSHARON
Practice Address - State:TX
Practice Address - Zip Code:77583-3478
Practice Address - Country:US
Practice Address - Phone:832-643-6360
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-23
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health