Provider Demographics
NPI:1922469907
Name:AMAZING HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:AMAZING HEALTHCARE SERVICES
Other - Org Name:AMAZING FOSTER CARE
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:RACHAEL
Authorized Official - Middle Name:O
Authorized Official - Last Name:OSAGIE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:781-961-3241
Mailing Address - Street 1:37 ROSE GLEN ST
Mailing Address - Street 2:
Mailing Address - City:STOUGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02072-2448
Mailing Address - Country:US
Mailing Address - Phone:781-961-3241
Mailing Address - Fax:781-961-2827
Practice Address - Street 1:478 S MAIN ST
Practice Address - Street 2:
Practice Address - City:RANDOLPH
Practice Address - State:MA
Practice Address - Zip Code:02368-5223
Practice Address - Country:US
Practice Address - Phone:781-961-3241
Practice Address - Fax:781-961-2827
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-17
Last Update Date:2016-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency