Provider Demographics
NPI:1780860361
Name:AMAZING HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:AMAZING HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LAZARO
Authorized Official - Middle Name:
Authorized Official - Last Name:VARONA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-277-7122
Mailing Address - Street 1:3351 EXECUTIVE WAY
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-3935
Mailing Address - Country:US
Mailing Address - Phone:407-277-7122
Mailing Address - Fax:888-299-2046
Practice Address - Street 1:5350 CURRY FORD RD.
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32812-3448
Practice Address - Country:US
Practice Address - Phone:407-277-7122
Practice Address - Fax:888-299-2046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-14
Last Update Date:2022-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299993006251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL299993006OtherAHCA FL
FL108819900Medicaid