Provider Demographics
NPI:1144520057
Name:AMAZING CAREGIVERS HOME HEALTH INC
Entity type:Organization
Organization Name:AMAZING CAREGIVERS HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CLARA
Authorized Official - Middle Name:N
Authorized Official - Last Name:IRIELE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:832-703-5770
Mailing Address - Street 1:7510 BRIGHT LAKE BEND LANE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407
Mailing Address - Country:US
Mailing Address - Phone:832-703-5770
Mailing Address - Fax:832-437-1299
Practice Address - Street 1:7510 BRIGHT LAKE BEND LANE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407
Practice Address - Country:US
Practice Address - Phone:832-703-5770
Practice Address - Fax:832-437-1299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-26
Last Update Date:2019-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Single Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001025407Medicaid