Provider Demographics
NPI:1750071676
Name:AWESOME HEALTHCARE SOLUTIONS LLC
Entity type:Organization
Organization Name:AWESOME HEALTHCARE SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:
Authorized Official - Last Name:EJIOGU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-768-3066
Mailing Address - Street 1:413 FERNDALE AVE
Mailing Address - Street 2:
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061-2668
Mailing Address - Country:US
Mailing Address - Phone:301-768-3066
Mailing Address - Fax:410-729-6727
Practice Address - Street 1:413 FERNDALE AVE
Practice Address - Street 2:
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-2668
Practice Address - Country:US
Practice Address - Phone:301-768-3066
Practice Address - Fax:410-729-6727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-12
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care