Provider Demographics
NPI:1649941527
Name:AMAZING CARE HOME HEALTH INC.
Entity type:Organization
Organization Name:AMAZING CARE HOME HEALTH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/CFO/SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:CLEMENT
Authorized Official - Middle Name:U
Authorized Official - Last Name:ATABOH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-603-3315
Mailing Address - Street 1:10901 FOLSOM BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95670-5162
Mailing Address - Country:US
Mailing Address - Phone:916-603-3315
Mailing Address - Fax:916-603-3348
Practice Address - Street 1:10901 FOLSOM BLVD STE A
Practice Address - Street 2:
Practice Address - City:RANCHO CORDOVA
Practice Address - State:CA
Practice Address - Zip Code:95670-5162
Practice Address - Country:US
Practice Address - Phone:916-603-3315
Practice Address - Fax:916-603-3348
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-21
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health