Provider Demographics
NPI:1912913559
Name:AMARZING STAR HOME HEALTH SERVICES,INC
Entity Type:Organization
Organization Name:AMARZING STAR HOME HEALTH SERVICES,INC
Other - Org Name:AMAZING STAR HOME HEALTH SERVICES,INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:UCHE
Authorized Official - Middle Name:C
Authorized Official - Last Name:ORJI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-530-4142
Mailing Address - Street 1:6150 RICHMOND AVE
Mailing Address - Street 2:STE 110
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-6229
Mailing Address - Country:US
Mailing Address - Phone:832-530-4142
Mailing Address - Fax:832-530-4919
Practice Address - Street 1:6150 RICHMOND AVE
Practice Address - Street 2:STE 110
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-6229
Practice Address - Country:US
Practice Address - Phone:832-530-4142
Practice Address - Fax:832-530-4919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-01
Last Update Date:2015-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010483251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========OtherEIN
TX=========OtherEIN