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AMAZING HOME CARE AGENCY LLC NPI 1093105058


NPI Information

NPI: 1093105058
Provider Name: AMAZING HOME CARE AGENCY LLC

Former Legal Business Name: AMAZING HOME CARE AGENCY LLC

Classification: In Home Supportive Care - 253Z00000X
Entity Type: Organization
Address:
1909 BRAGG BLVD
STE 102 B
FAYETTEVILLE, NC
ZIP 28303
Phone: (910) 884-3080
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AMAZING HOME CARE AGENCY LLC is an in home supportive care in Fayetteville, NC. The provider is an In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. AMAZING HOME CARE AGENCY LLC NPI is 1093105058. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Amazing Home Care Agency Llc.

The provider's business location address is:

1909 BRAGG BLVD
STE 102 B
FAYETTEVILLE, NC
ZIP 28303-387
Phone: (910) 884-3080
Fax: (910) 884-0193

The provider's authorized official is Sunie Dean .
The authorized official title is Managing Employee and has the following contact phone number (910) 884-3080.

The enumeration date for this NPI number is 1/29/2015 and was last updated on 1/29/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1253Z00000XIn Home Supportive CareYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16601870MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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