Provider Demographics
NPI:1023725389
Name:AMAZING CAREGIVERS HOMECARE LLC
Entity type:Organization
Organization Name:AMAZING CAREGIVERS HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SEBEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-809-7357
Mailing Address - Street 1:10 BANTA PL UNIT 7
Mailing Address - Street 2:
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-5612
Mailing Address - Country:US
Mailing Address - Phone:201-546-1076
Mailing Address - Fax:201-546-1076
Practice Address - Street 1:10 BANTA PL UNIT 7
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-5612
Practice Address - Country:US
Practice Address - Phone:201-546-1076
Practice Address - Fax:201-546-1076
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-04
Last Update Date:2022-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health