Provider Demographics
NPI: | 1821354358 |
---|---|
Name: | AMAZING HEALTHCARE INC |
Entity Type: | Organization |
Organization Name: | AMAZING HEALTHCARE INC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | ADMINISTRATOR |
Authorized Official - Prefix: | |
Authorized Official - First Name: | JANET |
Authorized Official - Middle Name: | OLATUDE |
Authorized Official - Last Name: | AFOLABI |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 713-259-2250 |
Mailing Address - Street 1: | 903 CITATION DR |
Mailing Address - Street 2: | |
Mailing Address - City: | STAFFORD |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 77477-6373 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 713-259-2250 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 903 CITATION DR |
Practice Address - Street 2: | |
Practice Address - City: | STAFFORD |
Practice Address - State: | TX |
Practice Address - Zip Code: | 77477-6373 |
Practice Address - Country: | US |
Practice Address - Phone: | 713-259-2250 |
Practice Address - Fax: | 281-969-5751 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2012-04-10 |
Last Update Date: | 2015-02-24 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
163W00000X, 163WH0200X, 261QH0100X, 3104A0625X, 311ZA0620X, 315D00000X, 315P00000X, 320600000X, 320900000X, 363LA2200X, 363LP2300X, 385HR2060X | ||
TX | AP124201 | 363L00000X, 363LG0600X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Group - Multi-Specialty | |
No | 163W00000X | Nursing Service Providers | Registered Nurse | Group - Multi-Specialty | |
No | 163WH0200X | Nursing Service Providers | Registered Nurse | Home Health | Group - Multi-Specialty |
No | 261QH0100X | Ambulatory Health Care Facilities | Clinic/Center | Health Service | Group - Multi-Specialty |
No | 3104A0625X | Nursing & Custodial Care Facilities | Assisted Living Facility | Assisted Living, Mental Illness | Group - Multi-Specialty |
No | 311ZA0620X | Nursing & Custodial Care Facilities | Custodial Care Facility | Adult Care Home | Group - Multi-Specialty |
No | 315D00000X | Nursing & Custodial Care Facilities | Hospice, Inpatient | ||
No | 315P00000X | Nursing & Custodial Care Facilities | Intermediate Care Facility, Intellectual Disabilities | ||
No | 320600000X | Residential Treatment Facilities | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | ||
No | 320900000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | ||
No | 363LA2200X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Adult Health | Group - Multi-Specialty |
No | 363LG0600X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Gerontology | Group - Multi-Specialty |
No | 363LP2300X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Primary Care | Group - Multi-Specialty |
No | 385HR2060X | Respite Care Facility | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities, Child | Group - Multi-Specialty |