Healthcare Provider Details

I. General information

NPI: 1386589505
Provider Name (Legal Business Name): AMAZING U COMMUNITY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1018 STUYVESANT AVE STE 10C
UNION NJ
07083-6000
US

IV. Provider business mailing address

1018 STUYVESANT AVE STE 10C
UNION NJ
07083-6000
US

V. Phone/Fax

Practice location:
  • Phone: 646-571-7898
  • Fax: 646-571-7898
Mailing address:
  • Phone: 646-571-7898
  • 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: REBECCA MICIAL
Title or Position: OWNER
Credential: MICIAL
Phone: 646-571-7898