Healthcare Provider Details

I. General information

NPI: 1801635792
Provider Name (Legal Business Name): AMAZING HANDS HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2024
Last Update Date: 09/27/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 E DAVID RD STE 200
KETTERING OH
45429-5741
US

IV. Provider business mailing address

1201 E DAVID RD STE 200
DAYTON OH
45429-5741
US

V. Phone/Fax

Practice location:
  • Phone: 937-951-4476
  • Fax: 937-637-7187
Mailing address:
  • Phone: 937-951-4476
  • Fax: 937-637-7187

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: SHETEKA ALLEN
Title or Position: CEO
Credential:
Phone: 937-951-4476