Provider Demographics
NPI:1285895599
Name:AMAZING LOVE HEALTHCARE SERVICES, LLC.
Entity type:Organization
Organization Name:AMAZING LOVE HEALTHCARE SERVICES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:EUGENIA
Authorized Official - Middle Name:OGEH
Authorized Official - Last Name:CATERNOR
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:410-670-8045
Mailing Address - Street 1:PO BOX 368
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:MD
Mailing Address - Zip Code:21009-0368
Mailing Address - Country:US
Mailing Address - Phone:410-670-8045
Mailing Address - Fax:410-800-4695
Practice Address - Street 1:1206 LEEDS CT
Practice Address - Street 2:
Practice Address - City:ABINGDON
Practice Address - State:MD
Practice Address - Zip Code:21009-1277
Practice Address - Country:US
Practice Address - Phone:410-670-8045
Practice Address - Fax:410-800-4695
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-19
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR2600251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health