Healthcare Provider Details

I. General information

NPI: 1477453231
Provider Name (Legal Business Name): AMAZE HEALTH SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2026
Last Update Date: 11/06/2026
Certification Date: 11/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11820 FEDERAL ST
FULTON MD
20759-2674
US

IV. Provider business mailing address

11820 FEDERAL ST
FULTON MD
20759-2674
US

V. Phone/Fax

Practice location:
  • Phone: 443-832-5871
  • Fax:
Mailing address:
  • Phone: 443-832-5871
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: AMMA BONSU
Title or Position: OWNER
Credential:
Phone: 443-832-5871