Organization Active NPI

Amazing Care Hospice, LLC.

Doing business as Amazing Care Hospice

  • Community Based Hospice Care Agency
  • Folsom, CA
National Provider Identifier
1104594472
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
AMAZING CARE HOSPICE, LLC.
Doing business as
Amazing Care Hospice
Practice address
101 Parkshore Dr Ste 100
Folsom, CA 95630-4726
Phone
(916) 306-8830
Fax
(916) 306-5570
NPI assigned
Sep 1, 2021
Last updated
Sep 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Clement Ataboh
Title
President/Treasurer/Secretary
Phone
(916) 306-8830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

101 Parkshore Dr Ste 100
Folsom, CA 95630-4726

Mailing address

101 Parkshore Dr Ste 100
Folsom, CA 95630-4726
Phone (916) 306-8830

Other names 1

  • Amazing Care Hospice Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Folsom Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630454400000",
    "number": "1104594472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PARKSHORE DR STE 100",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956304726",
            "telephone_number": "916-306-8830",
            "fax_number": "916-306-5570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PARKSHORE DR STE 100",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956304726",
            "telephone_number": "916-306-8830",
            "fax_number": "916-306-5570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING CARE HOSPICE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A",
        "authorized_official_last_name": "ATABOH",
        "authorized_official_first_name": "CLEMENT",
        "authorized_official_title_or_position": "PRESIDENT/TREASURER/SECRETARY",
        "authorized_official_telephone_number": "916-306-8830",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Folsom",
            "affiliation": "N",
            "endpointDescription": "Hospice",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "101 Parkshore Dr Ste 100",
            "city": "Folsom",
            "state": "CA",
            "country_code": "US",
            "postal_code": "956304726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Amazing Care Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.