Provider Demographics
NPI:1871375782
Name:AMAZING CARE LLC
Entity type:Organization
Organization Name:AMAZING CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CLOUDINE
Authorized Official - Middle Name:E
Authorized Official - Last Name:ASHU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-383-4918
Mailing Address - Street 1:9720 CAPITAL CT # 3
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20110-2044
Mailing Address - Country:US
Mailing Address - Phone:571-383-4918
Mailing Address - Fax:
Practice Address - Street 1:9720 CAPITAL CT # 3
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-2044
Practice Address - Country:US
Practice Address - Phone:571-383-4918
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-16
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care