Provider Demographics
NPI:1386922615
Name:AMAZING HOMECARE CO.
Entity type:Organization
Organization Name:AMAZING HOMECARE CO.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROY
Authorized Official - Middle Name:F
Authorized Official - Last Name:TUGGLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-243-0471
Mailing Address - Street 1:645 AMANDA LEE
Mailing Address - Street 2:
Mailing Address - City:COMBINE
Mailing Address - State:TX
Mailing Address - Zip Code:75159-5457
Mailing Address - Country:US
Mailing Address - Phone:972-413-6165
Mailing Address - Fax:
Practice Address - Street 1:645 AMANDA LEE
Practice Address - Street 2:
Practice Address - City:COMBINE
Practice Address - State:TX
Practice Address - Zip Code:75159-5457
Practice Address - Country:US
Practice Address - Phone:972-413-6165
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-03
Last Update Date:2011-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health