Healthcare Provider Details

I. General information

NPI: 1154121663
Provider Name (Legal Business Name): AMAZIN HOME HEALTH CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2025
Last Update Date: 03/14/2025
Certification Date: 03/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1842 S MADISON ST
WHITEVILLE NC
28472-4938
US

IV. Provider business mailing address

221 BUTLER RD
CLARENDON NC
28432-9371
US

V. Phone/Fax

Practice location:
  • Phone: 910-840-2343
  • Fax:
Mailing address:
  • Phone: 910-840-2343
  • 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: SHEILA CRIBB
Title or Position: CEO/ORGANIZER
Credential:
Phone: 910-840-2343