Provider Demographics
NPI:1881842474
Name:A & AMAZING HOME CARE LLC
Entity type:Organization
Organization Name:A & AMAZING HOME CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:IRMA
Authorized Official - Middle Name:
Authorized Official - Last Name:VINTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-979-6022
Mailing Address - Street 1:4112 SAN PEDRO AVE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78212-1834
Mailing Address - Country:US
Mailing Address - Phone:210-979-6022
Mailing Address - Fax:210-979-6025
Practice Address - Street 1:4112 SAN PEDRO AVE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78212-1834
Practice Address - Country:US
Practice Address - Phone:210-979-6022
Practice Address - Fax:210-979-6025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-08
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX198048401Medicaid