MEDICARE: AMAZING HOME HEALTHCARE INC

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	:	1982207643
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMAZING HOME HEALTHCARE INC

Provider Business Mailing Address
First Line	:	1744 HUY RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43224-3550
Country	:	US
Telephone Number	:	614-207-2552
Fax Number	:	614-675-8551

Provider Business Practice Location Address
First Line	:	1750 HUY RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43224-3550
Country	:	US
Telephone Number	:	614-207-2552
Fax Number	:	614-675-8551

Authorized Official
Title or Position	:	CEO
Name	:	MOHAMED ADAM
Credential	:
Telephone Number	:	614-207-2553

Provider Enumeration Date	:	11/17/2020
Last Update Date	:	08/10/2021

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Directions to “AMAZING HOME HEALTHCARE INC ” Practice Location

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