Provider Demographics
NPI:1285235879
Name:AMAZING CARE HOME HEALTH SERVICES LLC
Entity type:Organization
Organization Name:AMAZING CARE HOME HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ADEWUMI
Authorized Official - Middle Name:SOLOMON
Authorized Official - Last Name:ADESINA
Authorized Official - Suffix:
Authorized Official - Credentials:DON
Authorized Official - Phone:401-699-2078
Mailing Address - Street 1:13310 GLADEHILL RD
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23831-4641
Mailing Address - Country:US
Mailing Address - Phone:401-699-2078
Mailing Address - Fax:
Practice Address - Street 1:13310 GLADEHILL RD
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:VA
Practice Address - Zip Code:23831-4641
Practice Address - Country:US
Practice Address - Phone:401-699-2078
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-02
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health