Provider Demographics
NPI:1366815854
Name:AMAZING LIFE HOME HEALTH CARE, INC
Entity type:Organization
Organization Name:AMAZING LIFE HOME HEALTH CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AKAOSA
Authorized Official - Middle Name:ONUMA
Authorized Official - Last Name:ELEANYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-649-5138
Mailing Address - Street 1:2302 W MEADOWVIEW RD STE 222
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27407-3750
Mailing Address - Country:US
Mailing Address - Phone:919-649-5138
Mailing Address - Fax:888-419-0817
Practice Address - Street 1:7404 CHAPEL HILL RD, STE N
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607
Practice Address - Country:US
Practice Address - Phone:919-649-5138
Practice Address - Fax:888-419-0817
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-05
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC4805253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care