Provider Demographics
NPI:1649756735
Name:AMAZING CARE HEALTH SERVICES LLC
Entity type:Organization
Organization Name:AMAZING CARE HEALTH SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STELLA
Authorized Official - Middle Name:OA
Authorized Official - Last Name:EPEY
Authorized Official - Suffix:
Authorized Official - Credentials:DOCTOR IN DIVINITY
Authorized Official - Phone:423-208-0179
Mailing Address - Street 1:4813 SETON DR
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-3211
Mailing Address - Country:US
Mailing Address - Phone:410-265-0023
Mailing Address - Fax:410-265-0027
Practice Address - Street 1:4813 SETON DR
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215-3211
Practice Address - Country:US
Practice Address - Phone:410-265-0023
Practice Address - Fax:410-265-0027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-12
Last Update Date:2025-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X, 251J00000X, 261QD1600X, 261QH0100X, 261QM0801X, 261QM0855X, 261QR0401X, 261QR0405X, 3140N1450X, 320800000X, 320900000X, 323P00000X, 385H00000X, 251E00000X
MDR4248251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Yes251J00000XAgenciesNursing Care
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No3140N1450XNursing & Custodial Care FacilitiesSkilled Nursing FacilityNursing Care, Pediatric
No320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility
No385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD5139290500Medicaid
MDR4284OtherOFFICE OF HEALTH ACRE QUALITY (OHCQ)
MD139290500Medicaid