Healthcare Provider Details

I. General information

NPI: 1023725389
Provider Name (Legal Business Name): AMAZING CAREGIVERS HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2022
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 BANTA PL STE 203
HACKENSACK NJ
07601-5606
US

IV. Provider business mailing address

20 BANTA PL STE 203
HACKENSACK NJ
07601-5606
US

V. Phone/Fax

Practice location:
  • Phone: 201-546-1076
  • Fax: 201-250-8802
Mailing address:
  • Phone: 201-546-1076
  • Fax: 201-250-8802

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: CYNTHIA SEBEH
Title or Position: OWNER
Credential:
Phone: 203-809-7357