MEDICARE: AMAZING HOMEHEALTH SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1003295254
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMAZING HOMEHEALTH SERVICES

Provider Business Mailing Address
First Line	:	5160 E 65TH ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46220-4882
Country	:	US
Telephone Number	:	317-529-1703
Fax Number	:	317-579-0377

Provider Business Practice Location Address
First Line	:	5160 E 65TH ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46220-4882
Country	:	US
Telephone Number	:	317-529-1703
Fax Number	:	317-579-0377

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	JOYCE MZUMARA
Credential	:
Telephone Number	:	317-529-1703

Provider Enumeration Date	:	05/20/2015
Last Update Date	:	05/20/2015

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