Healthcare Provider Details

I. General information

NPI: 1659170199
Provider Name (Legal Business Name): AMAZING CAREGIVERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2025
Last Update Date: 06/13/2025
Certification Date: 06/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1376 OLD BRIDGE RD STE 101-3
WOODBRIDGE VA
22192-2762
US

IV. Provider business mailing address

1376 OLD BRIDGE RD STE 101-3
WOODBRIDGE VA
22192-2762
US

V. Phone/Fax

Practice location:
  • Phone: 703-499-0136
  • Fax: 703-337-0461
Mailing address:
  • Phone: 703-499-0136
  • Fax: 703-337-0461

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385HR2050X
TaxonomyRespite Care Camp
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code385HR2055X
TaxonomyChild Mental Illness Respite Care
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code385HR2065X
TaxonomyChild Physical Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: JACOB DANQUAH
Title or Position: OWNER
Credential:
Phone: 703-499-0136