Provider Demographics
NPI:1467209643
Name:JUST AMAZING CARE LLC
Entity type:Organization
Organization Name:JUST AMAZING CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARCHILEEN
Authorized Official - Middle Name:C
Authorized Official - Last Name:AYO-DAVIES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-669-2512
Mailing Address - Street 1:5620 OLD TEMPLE HILL RD
Mailing Address - Street 2:
Mailing Address - City:TEMPLE HILLS
Mailing Address - State:MD
Mailing Address - Zip Code:20748-4906
Mailing Address - Country:US
Mailing Address - Phone:215-669-2512
Mailing Address - Fax:
Practice Address - Street 1:5620 OLD TEMPLE HILL RD
Practice Address - Street 2:
Practice Address - City:TEMPLE HILLS
Practice Address - State:MD
Practice Address - Zip Code:20748-4906
Practice Address - Country:US
Practice Address - Phone:215-669-2512
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-04
Last Update Date:2024-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health