Healthcare Provider Details

I. General information

NPI: 1063083137
Provider Name (Legal Business Name): AMAZING HEARTS HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2021
Last Update Date: 08/29/2021
Certification Date: 08/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1322 HARDWOOD TRL STE 111
CORDOVA TN
38016-0527
US

IV. Provider business mailing address

1322 HARDWOOD TRL STE 111
CORDOVA TN
38016-0527
US

V. Phone/Fax

Practice location:
  • Phone: 901-247-8668
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
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: CONTESSI HARDIN
Title or Position: CEO/FOUNDER
Credential:
Phone: 901-601-4928