Provider Demographics
NPI:1932175817
Name:AMAZING HEALTH SERVICES, LLC.
Entity Type:Organization
Organization Name:AMAZING HEALTH SERVICES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:
Authorized Official - Last Name:JEFFERSON
Authorized Official - Suffix:
Authorized Official - Credentials:MHSA
Authorized Official - Phone:614-322-1111
Mailing Address - Street 1:950 TAYLOR STATION RD
Mailing Address - Street 2:SUITE Q
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-6670
Mailing Address - Country:US
Mailing Address - Phone:614-322-1111
Mailing Address - Fax:614-322-1118
Practice Address - Street 1:950 TAYLOR STATION RD
Practice Address - Street 2:SUITE Q
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-6670
Practice Address - Country:US
Practice Address - Phone:614-322-1111
Practice Address - Fax:614-322-1118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-28
Last Update Date:2011-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2620462Medicaid
OH2620462Medicaid