Healthcare Provider Details

I. General information

NPI: 1942089149
Provider Name (Legal Business Name): AMAZING NURSING CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2023
Last Update Date: 09/26/2023
Certification Date: 09/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2151 MELROSE AVE
COLUMBUS OH
43224-2448
US

IV. Provider business mailing address

2151 MELROSE AVE
COLUMBUS OH
43224-2448
US

V. Phone/Fax

Practice location:
  • Phone: 614-984-4293
  • Fax:
Mailing address:
  • Phone: 614-984-4293
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. RITA MARCUM NIMMONS
Title or Position: OWNER
Credential: RN
Phone: 614-984-4293