Provider Demographics
NPI:1457534059
Name:AMAZING CARE SERVICES
Entity Type:Organization
Organization Name:AMAZING CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOLANDA
Authorized Official - Middle Name:JENISE
Authorized Official - Last Name:BERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-525-3434
Mailing Address - Street 1:1661 CANAL ST
Mailing Address - Street 2:SUITE 3109
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112-2861
Mailing Address - Country:US
Mailing Address - Phone:504-525-3434
Mailing Address - Fax:
Practice Address - Street 1:1661 CANAL ST
Practice Address - Street 2:SUITE 3109
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-2861
Practice Address - Country:US
Practice Address - Phone:504-525-3434
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-06
Last Update Date:2007-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1629273826Medicaid