MEDICARE: AMAZINGHEARTSCAREINC.

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1891563201
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMAZINGHEARTSCAREINC.

Provider Business Mailing Address
First Line	:	2131 MURFREESBORO PIKE STE 101B
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37217-6300
Country	:	US
Telephone Number	:	615-562-3023
Fax Number	:

Provider Business Practice Location Address
First Line	:	2131 MURFREESBORO PIKE STE 101B
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37217-6300
Country	:	US
Telephone Number	:	615-562-3023
Fax Number	:

Authorized Official
Title or Position	:	CEO/EXECUTIVE DIRECTOR
Name	:	MRS. NKIRU VICTORIA OBIANWU
Credential	:
Telephone Number	:	615-430-5029

Provider Enumeration Date	:	12/14/2023
Last Update Date	:	12/14/2023

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