Provider Demographics
NPI:1912390931
Name:AMAZING HOME CARE SERVICES, LLC
Entity Type:Organization
Organization Name:AMAZING HOME CARE SERVICES, LLC
Other - Org Name:AMAZING HOME CARE CDPAP
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:STEINFELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-863-3300
Mailing Address - Street 1:1601 BRONXDALE AVE
Mailing Address - Street 2:SUITE 207
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10462-3364
Mailing Address - Country:US
Mailing Address - Phone:718-863-3300
Mailing Address - Fax:718-863-4300
Practice Address - Street 1:1601 BRONXDALE AVE
Practice Address - Street 2:SUITE 207
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10462-3364
Practice Address - Country:US
Practice Address - Phone:718-863-3300
Practice Address - Fax:718-863-4300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-16
Last Update Date:2015-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1624L001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health