Provider Demographics
NPI:1700108446
Name:AMAZING KARE, LLC
Entity Type:Organization
Organization Name:AMAZING KARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, DESIGNATED MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JAUKEISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-932-4540
Mailing Address - Street 1:1221 LOCUST ST STE 824
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63103-2364
Mailing Address - Country:US
Mailing Address - Phone:314-932-4540
Mailing Address - Fax:314-395-5439
Practice Address - Street 1:1221 LOCUST ST STE 824
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63103-2364
Practice Address - Country:US
Practice Address - Phone:314-932-4540
Practice Address - Fax:314-395-5439
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-22
Last Update Date:2011-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOLC9612810251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health